Those pregnant women who suffer severe complications and come close to maternal death but do not die are the “near misses”. As India being a country with higher maternal mortality, maternal death review system has been institutionalised in India, however much more needs to be known. Near miss cases often precede the loss but are largely ignored because nothing (death) happened. Sometimes we may face difficulty in diagnosing of these near miss cases due to presence of complex presentation.These cases were documented to highlight the importance of appropriate management at the appropriate time to save the patient’s life, which were diagnostic challenge and near miss cases.