Introduction and Objectives: The women in reproductive age group of 15-45 years are vulnerable and at risk due to obstetric emergencies. 92% of maternal deaths are due to delay in referral and case management. 1 Hence for providing essential obstetric care, referral system needs to be strengthened. This study is aimed at reviewing the primary reasons and pattern of obstetric cases referred to a tertiary care centre and management of its complications. Design: It is a prospective observational analysis of antenatal/post-partum patients over a period of 1-year in a multi-disciplinary intensive care unit (ICU) at a tertiary care centre. We studied 50 patients. Results: 76% of the patients in this study were referred from peripheral health centres. 77.34% patients had obstetric complications. Commonest risk factor for ICU admission was hypertensive disorders of pregnancy and obstetric haemorrhage. Other major risk factors were heart disease and sepsis. Major cause of maternal mortality was multi-organ-dysfunction and sepsis secondary to massive obstetric haemorrhage. Conclusion: The multi-disciplinary team approach in intensive care units, close monitoring, symptomatic treatment, prompt surgical intervention and safe motherhood initiative would reduce the current Maternal Mortality Rate. Development of standard referral protocol, availability of tertiary care, proper training in this regard is much needed. Keywords: Obstetric emergencies, Referral system, Intensive care units.