Objective: To study the baseline characteristics of referred obstetric patients, analyze the reason for referral and characteristics of the referring center to determine effectiveness of current referral system. To determine the fetomaternal outcome of the referred patients. Materials and methods: This was a retrospective observational study carried out from January 2017 to June 2017 in department of obstetrics and gynecology at a tertiary health care institute in South Gujarat. Data related to baseline characteristics, reason for referral, type and distance of referring center, feto maternal outcome were analyzed. Result: The study included 343 subjects referred with obstetric complications during the period contributing to 8% of total admission. The mean period of gestation was 36 weeks during admission. The maximum patients (75.8%) were referred from government centers and minimum from the private hospitals (5.2%). The commonest indication for referral was labor abnormality like prolonged labor, PROM, previous cesarean section (29%) followed by medical disorders complicating pregnancy like hypertension, sickle cell disease (25%). Twentyone percent patients were referred because of unavailability of doctors and resources, 12% due to obstetric hemorrhage and 11% due to severe anemia. 0.8% patients had abortion, 11% had preterm delivery and 0.5% had maternal deaths. 158 full-term patients delivered vaginally while 107 underwent CS. Out of the referred subjects, 90% had livebirth while 9% had stillbirth. Conclusion: To establish effective referral system, peripheral health care system needs to be strengthened by means of proper trained and skilled staff, essential equipment, blood banks, good transportation facility, etc.