Objective: To find out maternal mortality ratio (MMR) and to determine major causes of maternal death. Study Design: A descriptive study. Setting: Department of Obstetric and Gynaecology, Allied Hospital, Faisalabad. Study period: From 01.01.2008 to 31.12.2008. Materials and methods: All cases of maternal death during this study periods were included except accidental deaths. Results: There were 58 maternal deaths during this period. Total No. of live births were 5975. MMR was 58/5975 x 100,000 = 970/100,000 live births. The most common cause of maternal death was hemorrhage (34.5%) followed by hypertensive disorders/eclampsia (31%). Most of the patients (75.86%) were referred from primary & secondary care level. Conclusion: Maternal mortality is still very high in underdeveloped countries including Pakistan. We must enhance emergency obstetric care (EOC) to achieve the goal of reduction in MMR.