Introduction: Rupture uterus is a rare but potentially catastrophic obstetric complication with serious maternal morbidity and fetal mortality. This is a three year (2014-17) retrospective clinical study of cases of uterine rupture in labour room in a tertiary care institute. Aim: Aim of study was to evaluate the incidence of uterine rupture, associated risk factors, diagnosis (clinical features), complications, different surgical modalities of management and maternal n fetal outcome. Material & Methods: Retrospective analytical study of 14 cases of rupture of uterus in SMIMER, surat was collected from case records of 16221 deliveries during a three year span of (July, 2014-July 2017). Parameters like age, gravida, cause of rupture, type, site of rupture, surgical management and maternal n fetal outcome were recorded. The collected data was analysed by SPSS software v19. Results: Out of 16221 deliveries during the 3 year period there were 14 cases of uterine rupture with incidence of 0.86 in 1000 deliveries. Mean age of rupture was