Rupture of gravid uterus is rare unexpected and often catastrophic complication of pregnancy. the overall incidence is 0.07%(1:1536 pregnancies).in developed countries the rate of uterine rupture in pregnancy in unscarred uterus is 1 in 8434 pregnancies 0.012%. It is Associated with 2-10%of all maternal death and perinatal morality is 80- 90%.in who systemic review the uterus rupture worldwide found the incidence is 2.3/10000 pregnancies. It is Associated with high incidence of fetal and maternal morbidity and mortality. Uterine Rupture Common in pregnancy with history of previous uterine surgery, grand multipararity, multiple pregnancy polyhydrominos, obstructed labour, fetal malpresentation, road traffic collision, incorrect use of oxytocic agent and a poorly conducted attempt at operative vaginal delivery (typically breech extraction an incomplete dilation of cervix). Correct communication with obstetrics department in emergency obstetrics operation is as vital as emergency anaesthesia and bleeding management. We aimed to present anaesthesia ,blood and fluid management of patient admitted to emergency unit for rupture uterus with hemorrhagic shock .it requires rapid attention to safeguard for maternal and fetal outcomes.