Aim– To identify the near miss cases and to assess the reasons for delay in receiving appropriate emergency care. Materials and methods – WHO 2011 criteria was used for identification of near miss cases. Data collection was done by interview of patients and relatives through pretested questionnaire. Results– In the study period of one year, there were 74 near miss cases. 85.1% of the cases had one or more types of delays. 48.6 % of the women had delay type I delay, followed by combined type I and II delays in 21.6% of the cases. Type II delay was seen in 12.2% of the cases. Type III delay in receiving adequate treatment was seen in 2.7%. Conclusion – Lack of awareness in the common population about the complications of pregnancy in spite of high literacy rates has been found to be the major factor in causing delay in availing treatment. It is important to join hands to educate the general population to bring about a major change in the health of women.