Result: PPH (the loss of blood that caused significant alterations in the maternal condition or a blood loss of 500 cc in vaginal deliveries or of >1000 cc in caesarean sections) was recorded in 124 women; 60 had delivered in hospitals (Group-A) and 64 had been referredafter their deliveries (Group-B) from various peripheral centres, i.e., maternity hospitals, nursing homes and district and community health centres. The maternal mortality ratio during this period was 71/100,000 (4 deaths/5600 live births). Of these 4 deaths, 0 were in group A and 4 were in group B. The “near-miss” morbidity was higher than the mortality (total 20/124; 6/60 in Group-A and 14/64 in Group-B). The delayed referrals and the lack of an active 3rd stage management in Group-B were responsible for most of the adverse events.