Objective: This research aimed to describe the existing knowledge of midwives in South Africa regarding placental triage, considering its significance in identifying abnormalities and potential factors contributing to litigation cases. Design: A quantitative descriptive research design was employed, using a survey method to gather data from midwives. Setting: The study was conducted in South Africa amongst midwives working in both public and private hospitals, including educators and retired midwives. Population or Sample: A snowball sampling method was used to recruit participants and a total of 157 midwives participated in the study. Methods: An electronic questionnaire was developed with the guidance of midwifery and placental histology experts. Main Outcome Measures: The study gauged the percentage of midwives who routinely examined placentas, their awareness of placental histology services, their knowledge of macroscopic features of the placenta and their perceived need for further education on placental examination. Results: Among the participants, 64% reported routine examination of placentas and 61% had the availability of placental histology services in their units. The median knowledge score regarding macroscopic placental examination was 61.9%, with notable variability among respondents. The lowest obtained score was 14.3% and the highest score was 81%. Conclusions: The findings underscore a need for enhanced awareness and education among midwives regarding the importance of placental examination and histology. Notably, a considerable proportion of midwives expressed a desire for further education on these topics, highlighting opportunities for improving clinical practices and potentially reducing litigation risks in maternal and child health.