Background. Pregnancy is a normal, healthy state which most women aspire to at some point in their lives. Yet this normal, life–affirming process carries with it serious risks of death and disability.¹ The various complications during pregnancy can be life threatening if not diagnosed and managed in a timely manner. Post–partum Haemorrhage (PPH) and Eclampsia are one of the leading causes of deaths contributing to the highest maternal mortality in the state of Haryana.  Therefore there is anurgent need to strengthen health system to prevent maternal mortality in the state. Methods.A multi–stage stratified systematic sampling design was adopted for the survey. Four tertiary care hospitals bearing a large burden of pregnant women referrals from entirestate were selected and  four districts were randomly  selected  including two high priority and two non–high priority districts, with a view to give due representation of the State.  The readiness of the public health facilities were also assessed in terms of input, process and output indicators. Results.Out of the total patients referred annually(1,26,892), 52% of them were referred due to pregnancy or complications related to pregnancy. Out of referrals, most (80%)of referred PPH cases were given conservative/standard treatment at tertiary care hospitals. Almost one–third eclampsia cases referred, had undergone normal vaginal delivery at tertiary care hospitals. Very few cases of PPH and eclampsia were managed at the primary and secondary level of Public health facilities. Conclusion.There is high prevalence of referrals (23%) of which referrals of PPH and Eclampsia cases were significant from primary and secondary level of facilities to the tertiary care hospitals.Standard protocols for treatment for management of complications related to pregnancy were not followed at peripheral facilities leading to unnecessary referrals to higher health centres.