Pregnancy is a time of unparalleled joy and expectations. Pregnancy and childbirth have a huge impact on the physical, mental, emotional, and socioeconomic health of women and their families . Pregnancy-related health outcomes are influenced by a woman's health and other factors like race, ethnicity, age, and income. Most pregnancies have a healthy outcome but for others pregnancy can be times of intense fear. This study is done to estimate the proportions of different maternal outcomes and to identify the factors associated with different outcomes in Government Tertiary Care Hospital, Adilabad, Telangana . This is a cross sectional study done at hospital of Rajiv Gandhi institute of Medical Sciences , Adilabad in 2018 year . 1272 Antenatal mothers who came for delivery in RIMS were included in this study. Objectives of this study was to estimate the proportions of different maternal outcomes and to identify the factors associated with different outcomes .Among the three maternal deaths two were because of hemorrhage and one death is due to eclampsia .Majority ICU admissions due to Pre eclampsia, Eclampsia, hemorrhage .This study showed relatively high mortality and morbidity as majority cases were referred very late in critical condition and there used be no time to give appropriate care.Mothers who died had no prior ANC visits, were from rural area and due to either Eclampsia or hemorrhage and all of them had severe anemia. Early identification of high risk cases at community level and early referral, easy transport, continued skill base training to health care professionals will solve the problem to some extent.