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Introduction : Uterine rupture is a complete tear of all layers of uterus resulting in life threatening event for both mother and fetus. Uterine rupture most commonly seen in trial of labour after cesarean (TOLAC) with incidence of 0.5%-1.Incidence of rupture in unscarred uterus is rare 0.01-0.04%. Aims and Objectives : The objective is to determine incidence, risk factor, management, maternal and fetal outcome in cases of uterine rupture. To prevent maternal and fetal mortality. Method : Non-reassuring fetal heart rate (fetal distress), fast heart rate or low blood pressure in the pregnant person, sudden and severe abdominal pain, vaginal bleeding, warn about uterine rupture Result and Conclusion : Signs and symptoms of uterine rupture are typically nonspecific, which makes diagnosis difficult. Delay in definitive therapy cause significant fetal morbidity. The inconsistent signs and the short time in prompting definitive treatment of uterine rupture make it a challenging event. For the best outcome, vaginal birth after previous cesarean section needs to be looked after in an appropriately staffed and equipped unit for an immediate cesarean delivery and advance neonatal support.