Uterine rupture in pregnancy is a rare event and frequently results in maternal and/or fetal compromise. The susceptibility of a normal, unscarred uterus to rupture is less. As against the equal distribution of uterine rupture in case of scarred uterus during labour and the antepartum period, in a normal unscarred uterus the percentage of uterine rupture increases markedly during labour as compared to the antepartum period.

Though, increased rate of abortion, higher incidence of anaemia, higher twin pregnancy rates and malpresentations along with minor ailments like haemorrhoids and varicose veins have been found to be well associated and commonly seen with grand multiparity, the incidence of uterine rupture specially in association with bladder rupture has not been reported so commonly. We report a case of bladder injury associated with uterine rupture in a grand multipara female.