Abstract : This study was conducted to analyse in detail about the Maternal Near Miss mortality (MNMM). The incidence of maternal near miss mortality, the adverse events leading to MNMM, sociodemographic factors, disorders underlying, patterns of near miss mortality and facilities and skills needed to handle this situation are studied in a local context.This is an open study conducted in KGH during the period of april 2013 to November 2013. Materials and methods: maternal near miss cases which met the comprehensive criteria of WHO were included. All women with severe life threatening conditions who fulfilled the WHO criteria were identified and flagged. Their course of hospital stay was followed closely. A total of 50 cases were included. Each case was documented with respect to the adverse event, the disorder and organ dysfunction. Those who survived were included in this study as MNMM. Those who did not survive were not included in this study. All the data needed were collected from hospital records analyzed and master charted to statistical data. Results: The MNMM incidence ratio in this study is 0.8 per 1000 live births. This is comparable to High income developed countries where it is between 0.6 and 1%. Hypertensive disorders and Hemorrhage and are the leading causes of near miss situations. The Mortality Index is low at 0.05, it reflects good quality of care. The causes of Near Miss reflect the causes of maternal death. Near miss analysis is worth presenting in national indices as a surrogate for maternal death.