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A near miss case is defined as a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. Reviewing near miss cases provides us the significant information about the delay. Overcoming the challenge, identification and management of near miss cases is complement to maternal health. Case: 1: G3A2 at 14 weeks with missed abortion with phaeochromocytoma. 2: G4P3L3 at 40 weeks 3 days with ruptured uterus with haemorrhagic shock with severe anemia 3: G3P1L0A1 at 35 weeks with history of uterine rupture and perforation. 4:Elderly primi at 37 weeks with HELLP syndrome. In near miss cases, if proper diagnosis is made and with immediate intervention and ICU care is provided, patient can be saved.