INTRODUCTION: Benckiser's hemorrhage is a rare obstetric emergency characterized by massive genital hemorrhage during the third trimester. This condition necessitates urgent fetal extraction. Prenatal diagnosis is not routinely recommended. This article reports a case where vasa previa was diagnosed antenatally, but the pregnancy outcome was unfavorable. CASE REPORT: A 32-year-old woman, G3P1, presented at 32 weeks gestation with pelvic pain resembling uterine contractions. A transvaginal ultrasound revealed a suspected vascular anomaly near the internal cervical os. However, at 35 WG, she returned with cervical dilation, ruptured membranes, and profuse bleeding without maternal complications, prompting an emergency cesarean. The newborn, a male, had Apgar scores of 2/3/3 and was resuscitated with a blood transfusion. DISCUSSION: Benckiser's hemorrhage is a life-threatening event for the fetus, leading to fetal death in most cases due to acute exsanguination. Vasa previa occurs when abnormal blood vessels traverse the membranes between the fetus and the cervix. While routine screening for vasa previa is not recommended, prenatal diagnosis is crucial in the presence of risk factors. Ultrasound and Doppler are essential for diagnosing vasa previa. The prognosis for the newborn improves if vasa previa is diagnosed before labor. However, when diagnosed during labor, the prognosis remains poor. Cesarean section is recommended between 34 and 36 WG. CONCLUSION: While routine screening for vasa previa is not standard practice, it is recommended in cases with identified risk factors. Early detection, increased prenatal monitoring, and planned cesarean delivery can reduce mortality associated with Benckiser's hemorrhage.