Background: A near-miss obstetric morbidity means a woman who almost died but survived by chance due to any pregnancy related complication. Postpartum hemorrhage has been the leading cause of maternal mortality and morbidity worldwide. The near-miss morbidity due to PPH is an important indicator of maternal care and could be used to compare improvements in treatments more accurately than mortality rate alone. Objective: To evaluate the near miss cases due to PPH in MMCH. Methods: It will be a cross-sectional descriptive study on near miss patients admitted in the Department of Obst& Gynae of MMCH during six months study period. 50 patients will be purposively enrolled according to inclusion and exclusion criteria. Socio demographic character of the patients, clinical presentation, risk factors, mode of delivery, extent of morbidity, amount of blood transfusion, duration of hospital stay, need of ICU support, incidence of peripartum hysterectomy or other surgical interventions will be considered as major variable of the study. Results: Among 50 patients of near miss cases, 21-25 years group belonged to the highest (40%) 30 (60%) patients came from poor class. 32(64%) patients underwent irregular ANC. 27(54%) patients were multipara. 15(30%) had our hospital and 35(70%) patients had delivery in outside hospital. Besides, 27(54%) and 23(46%) patients had vaginal delivery and cesarean delivery respectively. Regarding clinical presentation 17(34%) and 8(16%) patients came with atonic uterus and retained placenta respectively. 32(64%) patients were managed conservatively and 18(36%) patients needed surgical management. 21(40.36%), 9(18%), 8(16%), 5(10%) patients required >3 unit blood transfusion, ICU admission, hysterectomy and laparotomy respectively. Conclusion: 'Near miss' events are important indicators for monitoring the quality of maternity services in health care facilities. Maternal near miss in association with PPH shows better results in case of our hospital managed patients whereas the worse outcome was observed in case of patients who were managed outside hospital.