Peripartum hysterectomy is the rescue resort performed in modern obstetrics to arrest or prevent haemorrhage from intractable uterine atony or abnormal placentation. The aims and objectives of this study were to determine incidence, risk factors, indications and maternal outcome. An observational study conducted in KING GEORGE HOSPITAL, Visakhapatnam for a period of one year from September 2022 to August 2023.Total cases n=14 with 2.3 per 1000 deliveries. Risk factors observed were age group of 26-30 years, multiparous, vaginal mode of delivery in the current pregnancy and referred cases. Postpartum haemorrhage (PPH) was the most common indication. Out of 14 cases there were 4(28%) maternal deaths and Near miss were 9(72%). Good antenatal and intrapartum care and early referral would bring down cases of PPH as most of these cases are referred from peripheries and decreasing c section rates would help us to decrease incidence of peripartum hysterectomy.