 This study found that hemorrhagen hypertension were the most common causes of maternal near-miss and mortality among pregnant women in services hospital Lahore. The frequency of near-miss was 28.4 per 1,000 live births and the maternal mortality to near-miss ratio was 1 minute and 10.5 seconds. Unbooked patients had a higher risk of dying compared to booked patients. Timely interventions could have reduced the number of deaths. This article was authored by Teyibah Wasim, Ghul Iranah, Mustafa Wasim, and others.