Introduction: One of the main risks of pregnancy is uterine rupture. Even in advanced nations, rupture of the gravid uterus continues to be a possibly lethal complication for both the mother and the fetus, despite advancements in obstetric care. Materials and methods: Study design: This retrospective research was conducted in a hospital. Study place: The Department of Obstetrics and Gynaecology at Katihar Medical College. Study period: June 2021–May 2023. Study population: A total of 18,521 antenatal admissions, of which 57 were admitted with a ruptured uterus. An analysis was conducted on the case studies of 57 patients with ruptured uterus treated at KMCH, Katihar between June 2021 and May 2023. Age, gestational age, parity, blood transfusion requirement, risk factors, surgical finding, surgical management type, clinical presentation, and morbidity as well as mortality of the mother and fetus were among the many characteristics that were recorded. Results: Incidence of the total 18,521 antenatal admissions during this period, 57 had ruptured the uterus giving an occurrence of 3.07/1,000 deliveries (0.3%). 54.4% of multiparous women and 59.7% of individuals with previously scarred uterus had a ruptured uterus. Repair was possible in only 29.8% of cases. The rate of perinatal mortality was 89.5, and 3.5% of deaths were maternal. Conclusion: Uterine rupture poses a significant and potentially fatal risk to both the mother and the unborn child. The occurrence of uterine rupture is high in underdeveloped nations, such as India, and it is significantly higher in unscarred uteruses than in developed nations.