Complications that arise during pregnancy and childbirth continue to be one of the primary causes of sickness and mortality among women in India who are of reproductive age. The World Health Organization's (WHO) maternal near miss (MNM) concept has gained popularity among academic medical centres in recent years. This is because it provides a large sample size on which to test new interventions and evaluate the efficacy of existing standards of care for pregnant women. The World Health Organization's (WHO) maternal near miss (MNM) concept has also been embraced by tertiary institutions because of its potential to prevent maternal deaths. Although research on this subject is growing, relatively few studies have focused on MNMs in eastern India, and no studies have been conducted to date in Odisha to investigate various delays contributing to MNMs. To supplement other methods of evaluating the calibre of maternal healthcare provided in the institution, prospective obstetric patients' near-miss rates and types were studied. This prospective observational research includes all the patients with severe maternal morbidly from May 2020 to September 2021 admitted in the Department of Obstetrics &Gynaecology, SCB Medical College, Cuttack, Odisha, India. During this period the total number of live birth recorded was 11,677 .Rate of maternal death per 1,000 live births was 16.1; the rate of maternal near-miss was 47.1; the ratio of maternal near-miss and maternal mortality was 2.9:1. The most frequent reason for close calls was reported to be hemorrhagic disorders. Among all the complications leading to haemorrhage, ectopic pregnancy contributed to 141 cases (45.6% of all haemorrhages) followed by postpartum haemorrhage (18.12%). Eclampsia was found to be the most common cause among all cases of hypertension. Therefore, it is recommended that the main level of treatment, as well as other levels of care, focus on avoiding or ameliorating maternal- near-miss events (such as haemorrhage, hypertensive disorders, and sepsis). The establishment of tertiary care in each area and enhancement of the peripheral health care system are important.