Introduction: Uterine rupture is one of the most serious obstetrical emergencies necessitating prompt 
diagnosis and management, as it en-dangers the maternal and fetal life. Aim of the work: The aim of 
the present study is to evaluate different risk factors for rupture of uterus in our community and 
reassess the different forms of management and their effect on maternal and fetal outcome. Patients& 
Methods: Setting: This study carried out at the Department of Obstetrics & Gynecology, Minia 
University Maternity Hospital, Minia , Egypt. Data collected from patients, data files and case notes 
of all patients of ruptured uterus managed at Minia University Maternity Hospital from January 2019 
to December 2019 (1 year) after being approved by the department ethical committee. Results: A 
total of 10132 deliveries were conducted and 125 cases of ruptured uterus were managed at ER of 
Obstetrics & Gynecology, Mina University Maternity Hospital, during a (1) year period from January 
2019 to December 2019. Thus the incidence of uterine rupture was 1.2/1000 deliveries. Conclusion:
Ruptured uterus still remains one of the serious obstetric complications. This prospective 
observational study concluded that most common cause of rupture uterus was scarred uterus followed 
by vaginal birth after caesarian section (VBAC). A lot of the women had no antenatal check-up and/or 
were managed initially by untrained personnel. Thus, in most of the cases, uterine rupture is a 
preventable complication. Antenatal and intranatal care, identification of high risk cases and 
education of the people about supervised pregnancy and delivery will reduce the occurrence of uterine 
rupture.