Introduction–Maternal mortality traditionally has been the indicator of maternal health. More recently the review of cases of near miss obstetric event is found to be useful to investigate maternal mortality. Cases of near miss are those, where a woman nearly died but survived a complication that occur during pregnancy or child birth.

Aim and objective– To analyse near miss cases and to determine MNM indicator, to analyse the cause and contributing factors for it.

Material and method– This prospective observational study conducted in M.K.C.G. medical college, Berhampur from 1^st November 2016 to 31^th October 2016. All the cases of  near miss cases defined by WHO criteria are taken. Information regarding demographic profile and reproductive parameters are collected and results are analysed.

Results –Out of 10321 deliveries 112 were near miss cases and 68 were maternal deaths. MMR was 720, near miss incidence 11.8, maternal death to near miss ratio was 1:1.64. Hypertensive disorder of pregnancy (45.5%) was the leading cause followed by haemorrhage. Maximum patients were identified as near miss as per management based criteria.

Conclusion –All the near miss cases should be interpreted as opportunities to improve the health care services.