Background: In India there is a decline in MMR compared to 2010 statistics. Severe Acute Maternal Morbidity (SAMM) has been introduced to analyze the quality of the health care system, thus to improve the obstetric care. SAMM and Near Miss events are complimentary to MMR. This concept was defined by the World Health Organization (WHO) as “a woman who, being close to death, survives a complication that occurred during pregnancy, delivery or up to 42 days after the end of her pregnancy”