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INTRODUCTION - HAEMATOMAS ARE THE MOST FEARED COMPLICATION OF DELIVERY ,LACERATIONS OF THE UTERINE ARTERY OR VESSELS OF THE BROAD LIGAMENT CAN CAUSE RETROPERITONEAL PUERPERAL HAEMATOMA , A NIGHTMARE TO OBSTETRICIAN. CASE 32 YEARS ODL PRIMIGRAVIADE DELIVERED VAGINALLY WITH EPISIOTOMY ( ASSISSTED BY OUTLET FORCEPS ) TO CUT DOWN SECOND STAGE OF LABOUR IN VIEW PROLONG LABOUR. HOWEVER AFTER FEW HOURS HER VITALLS GOT DERRANGED , BP DROPPED DOWN TO 90/50 WITH TACHCARDIA 110 / MIN . ON EXAMINATION - CONSCIOUS AND OREINTED ,UTERUS WELL CONTRACTED BUT EXTREMELY TENDER ON PALPATION AND ON INSPECTION -NO OBVIOUS BLEEDING FORM VAGINA AND ECCHYMOSIS OR HAEMATOMAIN VULVA . UPON CONDUCTING VAGINAL EXAMINATION -THERE WAS A HIUGE PARAVAGINAL HAEMATOMA ON THE RIGHT SIDE , WITH NO CONNECTOIN TO THE EPISIOTOMY . DECISION FOR LAPROTOMY WAS IMMEDIATELY TAKEN. UPON EXPLORATOIN OF TE ABDOMEN VIA PFFANENSTEIL INCISION , A HUGE HEMATOMA WAS OBSERVED , BEGINING FROM THE UTEROVESICAL SPACE AND EXTENDING TOWARDS THE LEFT SIDE OF THE RETROPERITONEAL SPACE , UPTO THE BIFURCATION OF THE ILIAC ARTERY , BLADDER WAS ADVANCED , . THE HAEMATOMA WAS EVACUATED AS MUCH AS POSSIBLE , BUT OUR ATTEMPTS TO FIND THE SOURCE OF BLEEDING WAS UNSUCCESSFULL .AFTER ABDOMINAL SURGERY , EVACUATED THE PARAVGINAL HAEMATOMA VAGINALLY , PATIENT RECEIVED 3 UNITS OF PRBC IN POST OPP PERIOD . DISCUSSION ITS A RARE CASE WITH THE POSSIBLE EXPLANATION FOR THE BLEDING COULD BE THE EXTENSION OF A CERVICAL TEAR , WHICH CAUSED THE LACERATION OF THE DESCENDING BRANCHES OF THE RIGHT UTERINE ARTERY, THIS MAY HAVE LEAD TO PARAVGINAL HAEMATOMA AND FINALLY CAUSEDHEMATOMAM IN THE PARAVESICAL SPACE AND BETWEEN THE LAYERS OF BROAD LIGAMENT. CONCLUSION - FINALLY THOUGH THE ABOVE MENTIONED HEMATOMAS ARE A RARE OCCASION TO HAPPEN AFTER VAGINAL DELIVERY WHICH CAN BE LIFE THREATENING , AN OBSTETRICIAN SHOULD BE AWARE OF ALL KINDS AND BE ABLE TO LIGATE THE INTERNAL ILIAC ARTERIES IN CASE OF HAEMODYNAMIC INSTABILITY AND TO SAVE PATIENTS LIFE.