Background: The aim of study is to determine whether maternal mortality due to anemia is preventable with focus on anemic cases in tertiary care hospital.

Materials and Methods: This is retrospective analysis of anemia patients referred to GRH, Department of Obstetrics and Gynaecology, Madurai from January 2018 to December 2018. Cases were stratified based of age, parity, gestationalage, severity of anemia.

Results: The total number of cases referred to GRH during the study period is 17556, in which anemia referral was 4120(23.4%), PIH 3400(19.3), others 10036 (57.16).53.6% were multigravida, 46.3% primigravida. Mean age of presentation is around 25 to 30 years. Anemia being more common in gestational age greater than 34 weeks. Among 53 maternal mortality,anemia as a direct or indirect cause of maternal mortality was found to be nil.

Conclusion: We concluded by this study that anemia as a cause of maternal mortality was found to be NIL. Anemia as a cause of maternal death was due to lack of antenatal care, inadequate quality of care in primary and secondary centres. Cases referred in GRH with regular follow up did not develop complications and attained safe delivery with no mortality.