Background: Maternal near-miss is a woman who nearly died but survived a complicationrnthat occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. Itrnhas very close effect on maternal and neonatal heath. Hence the study assess effect ofrnmaternal near miss on neonatal mortality. Methods: Prospective cohort study was done onrn354 pregnant women who came for delivery service to selected hospitals in Bale Zone. Thernhospitals were selected purposely based on average number of delivery and neonatal mortalityrnthey have in the last six month. Then all mothers with near miss were included until thernrequired sample size is obtained. Two non near miss mothers were selected using lottery.rnFrequency distribution was done for selected important variable. Survival curve for bothrngroups and Cox regression to look for effect of maternal near miss on neonatal mortality wasrndone. Ethical clearance from Addis Ababa University School of Public Health and verbalrninformed consent from study participant were obtained. Results: Out of the 384 sampledrnpregnant complete responses were obtained from 354 respondents yielding a response rate ofrn92.2%. . Of all 55 (15.5%) of them have previous history of abortion and 44 (12.4%) and 22rn(6.2%) have history of past delivery of still birth. From the total live birth there were 17 (48rnper 1000 live birth) neonatal death at the end of the study. As monthly income increase by onernEthiopian birr the risk of neonatal mortality decrease by 0.002 [(AHR 0.998, 95% CI (0.996,rn0.999)]; 6.48 times for non cephalic presentation than for cephalic presentation [(AHR 6.48,rn95% CI 1.84-22.73)]. As APGAR score increase by one score risk of neonatal mortalityrndecrease by 0.2 [(AHR 0.746, 95% CI (0.620, 0.898)], 8.40 times for mother with severernmorbidity than for mother with no maternal near miss after controlling for the effect of otherrnvariables (AHR 8.40, 95% CI (1.638, 43.118). Conclusion: Neonatal mortality was higherrnamong near miss mothers. But it was not only the result of maternal complication. It has sharernfrom other factors. Therefore most of the factors were modifiable if efforts were done tornimprove socioeconomic status of community.