Maternal near miss is a newly arising concept with increasing popularity among maternal health care system. The purpose of this study is to find out the incidence and prognosis of near miss patients. This is a prospective observational study, conducted for 3 months period in a tertiary care centre. Near miss cases were identified according to operational guidelines published by Ministry of health and family welfare, Government of India in December 2014. This study will also compare the cause for maternal death occurred during the study period. Analysis of the data revealed that the incidence of near miss is 20 fold higher than the maternal death. Hypertensive disorder is the leading cause for near miss. Medical complications like heart disease carries higher mortality index than obstetric complications. Perinatal and neonatal mortality are significantly higher in near miss group when compared with general population. Maternal near miss is a potential indicator of maternal health. Notification and analysis of maternal near miss events will help in improving maternal health care system. It will also provide vital data for the policy makers to concentrate and strengthen the potential deficits so as to achieve safe mother hood.

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