Introduction : Peripartum hysterectomy, although rare in modern obstetrics, a life saving procedure when severe obstetrical hemorrhage fails to respond to conservative treatment. The incidence of obstetric hysterectomy varies from center to center depends upon numbers of deliveries, numbers of referral case, antenatal, intranatal, postnatal care and available facilities at centre. Aims And Objectives: To find out associated risk factors and outcome after peripartum hysterectomy at our tertiary care hospital. Material And Methods: This retrospective study was conducted at our Tertiary Care Hospital during the period from 1st January 2017 to 31th December 2017 on patients who underwent peripartum hysterectomy either immediately or within forty–two days of vaginal or cesarean delivery. Results : The incidence observed in this study is 0.95 peripartum hysterectomy undergone in/1000 pregnancies (0.095%) recorded at our tertiary care hospital (Rajasthan, India) in the duration from January 2017 to December 2017. 61.11% of patient were para 2 and 3. 16.66% were para >4. The peripartum hysterectomy i.e. 11 (61.11%) cases followed after caesarian section, whereas 7 (38.88%) cases ended in peripartum hysterectomy following vaginal delivery. The most common indication for peripartum hysterectomy was atonic PPH i.e. 9 (50%) cases followed by rupture uterus i.e. 4 cases (22.22%). The most common postoperative complication was paralytic ileus 30% followed by septicemia 20% and urinary tract infection 20%. Conclusion: Peripartum hysterectomy, though uncommon, remains a challenging but life saving procedure in obstetrics. Its indication in modern obstetrics are changing and still emerging. Antenatal diagnosis of low lying and adherent placenta, minimizing the CS rate, proper and timely management of third stage of labor and emergency preparedness are imperative to minimize the chances of Peripartum hysterectomy and improving the outcome.