Introduction Emergency peripartum hysterectomy a life saving surgery involving irretrievable removal of uterus which is performed in setting of life threatening haemorrhage during or immediately after caesarean or vaginal deliveries.  Case Report A 25year old primi with 38 weeks + 4days gestation period with post right nephrectomy came with complaints of pain abdomen and backpain since 2 hours. No complaints of white discharge PV/Burning micturition/Bleeding PV/leaking PV. Perceiving foetal movements well.Conclusion In light of severe intractable uterine haemorrhage, When conservative management is failed, Hysterectomy is the immediate and unavoidable best treatment.

Keywords : Post Partum Hemorrhage, Single Kidney, Hypovolemia, SubtotalHysterectomy