Background: Maternal mortality actually reflects the quality of obstetric services given to pregnant women in any community.

Objectives of the study is to calculate the maternal mortality rate in a teaching institution, to assess the epidemiological aspects of maternal mortality and to assess the different causes of maternal mortality.

Methods: This was a retrospective study where individual records of all maternal deaths occurring in our hospital during the past 2 years from 2020 to 2021 were studied. The cause of death which led to death in each individual case were analyzed.

Results: A total of 44 maternal deaths occurred during the study period. The average maternal mortality ratio in the study period was 333.4/100000 live births.  Most maternal deaths (38.6%) occurred in the age group of 25–29 years, multiparous women (63.6%) and 43.2% cases were referred cases. Direct causes accounted for 65.9% of maternal deaths where as 34% of maternal deaths were due to indirect causes. Haemorrhage (20.4%) and pre-eclampsia/eclampsia (18.1%) were the major direct causes of maternal deaths. Out of 44 maternal deaths, 43.2% were referred cases from health centres, district hospitals etc.

Conclusion: Early detection of high-risk pregnancies and early referral of such patients to a tertiary center can reduce the complications of high-risk pregnancies and subsequent deaths.

 Key words: Maternal Mortality ratio, Maternal deaths, Haemorrhage, eclampsia.

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