Background: Maternal morbidity and mortality has been a major World Health Organization concern over the years, especially in India. This paper reports uterine rupture with hypovolemic shock managed at Cama and Albless Hospital, Mumbai. Skilled care before, during and after childbirth can save the lives of women and newborn babies. Between 1990 and 2015, maternal mortality worldwide dropped by about 44%. Between 2016 and 2030, as part of the Sustainable Development Goals, the target is to reduce the global maternal mortality ratio to less than 70 per 100 000 live births. Case Presentation: Mrs. NN aged 30 years, G5P4L4, from Bhiwandi , Thane was admitted to our Department with decreased foetal movements and history of labour pain for 6 hours which stopped an hour ago. Patient gives history of trial of labour at home after which she went to IGMC Bhiwandi where she was diagnosed with an intrauterine foetal demise and hence was referred to CAMA Hospital. She underwent a total abdominal hysterectomy and blood transfusion. Her post-operative stay in hospital was uneventful. Conclusion: Uterine rupture is a complication that can be eliminated under conditions of best obstetric practice. The survival of patients after uterine rupture depends on the time interval between rupture and intervention, and the availability of blood products for transfusion. We must focus on creating awareness to conduct trial of labour and delivery in a hospital setup with trained personnel.

Keywords: Uterine; Hypovolemic shock; Transfusion; Post Partum Haemorrhage.