Background:There isoften lack of awareness and absence of routine antenatal care.The serious patients report late and hence referralis delayed. Timely and appropriatereferral playsa key role in the outcome of the women. Referral services are an important part of antenatal services. Method: The study included 220 referred obstetric cases. Reasons for referral were evaluated and data compiled. Result: Medical disorders in pregnancy were the leading cause of antenatal referrals, with anaemia and hypertensive disorders each accounting for 34.88% of cases. Labour complications led to 81 referrals, mainly due to premature rupture of membranes (43.21%) and abnormal presentations (23.46%). Post-delivery referrals were mostly for postpartum hemorrhage (66.67%) and hematoma (33.33%).Blood transfusion need varied,depending on the cause. Conclusion:Improving antenatal care,thus early diagnosis of anaemia can decrease the referral cases.Timely referral of hypertensive disease or other medical disorders could prevent the disease becoming severe and improve pregnancy outcomes.