Introduction: Improving maternal mortality is major challenge in health care system. Improving maternal health is one of the eight millennium development goals. WHO is currently recommending monitoring severe acute maternal morbidity or maternal near miss as a technique to evaluate the calibre of obstetric care and deploy new tactics for enhancing maternal health. Aim and Objectives: We aimed to assess the globally used WHO model to measure quality of maternal care at a tertiary care hospital JNMCH, AMU, Aligarh. Material and Methods: The hospital-based prospective cohort study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Aligarh Muslim University of Aligarh between Sep 2020 to Oct 2022. Results: Total number of live births in hospital during study period were 15420 out of which maternal near miss (MNM) were 882 and maternal death (MD) were 88. Maternal near miss to maternal death ratio was 9.9:1 and mortality index was 9.05%. Conclusion: MNM and MD cases have same underlying pathophysiology with completely different outcome. By monitoring large number of cases with MNM helps in understanding the various causes of maternal adverse events and finding out gaps in management protocols /strategies more efficiently than auditing only maternal deaths.