Objectives: To determine the incidence, maternal factors, indications, associated mortality and morbidity and prophylactic measures for peripartum hysterectomy. Methods: A retrospective analysis of 18 cases of peripartum hysterectomy performed over a period of 18 months was done. Results: During the studyperiod, there were 16,385 deliveries which included 1903 cesarean deliveries. 18 cases underwent peripartum hysterectomy giving an incidence of 0.11%. The incidence following vaginal delivery was 0.12% and that of cesarean hysterectomy was 0.9%. 50% of the cases had a scar on the uterus due to previous LSCS or repair of rupture. Indication for surgery was rupture of uterus in 66.6% cases and uncontrolled PPH due to uterine atonicity in33.3% cases. All cases underwent subtotal hysterectomy. The commonest postoperative complications were hypovolemic shock (83%) and febrile morbidity (16%). Perinatal mortality was 72%. Maternal mortality was 22%. In spite of the associated intraoperative and postoperative complications, peripartum hysterectomy is still one of the important life saving procedures.