Introduction: The maternal mortality ratio in developing countries in 2013 was 230 per 100 000 live 
births versus 16 per 100 000 live births in developed countries. There are large disparities within 
countries, between women with high and low income and between women living in rural and urban 
areas. Aim of the Work: To study the three delays of maternal mortality cases in Minia Maternity & 
Children University Hospital a tertiary teaching hospital in 2018 and comparing it with the previous 
3 years (2015 & 2016-2017). Patients and Methods: Project title: Maternal Near Miss in Minia 
maternity & children University hospital in 2018: A prospective study. Study funding: There are 
no costs for this study; Patients‟ data were collected with the intent to review cases of maternal 
mortality and severe morbidity (near miss). Data was collected by reviewing the patients' admission 
files of the Obstetric Department at Minia University hospital and tracing questionnaires of maternal 
mortality cases at Minia Directorate of health after getting the official approval from the Ministry of 
health and maternal morbidity at Minia University. Results: Frequency distribution of different risk 
factors among studied sample (n=981) total no of cases of near miss sever preeclampsia 244 
eclampsia 186 sever hemorrhage 505 sever sepsis 69 uterine rupture71 admission to icu 365 
obstetric hysterectomy 85 massive blood transfusion 509 intubation and ventilation 466 shock 223 
cardiac arrest 8 acute cyanosis 4 gasping 0 sever tachycardia 20 sever bradycardia 5 respiratory 
dysfunction 20 neurological dysfunction 11 hepatic dysfunction 21 multiorgan failure 24 non 
responding oliguria 21 jaundice 2 DIC 5 prolonged uncons more than 12h 11 status epilepticus 2 
stroke 2 global paralysis 3 sever acute thrombocytopnea 21 sever hyperbilirubinemia 3 vasoactive 
drugs 5 cardiac resus 6 dialysis for ARF 18. Summary: W.H.O defined maternal death as follows:
The death of any woman while pregnant or within 42 days of termination of pregnancy, irrespective 
of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or 
its management but not from accidental or incidental causes.