Back ground: Causes of maternal near miss can be classified as direct and indirect causes. Thernmajor direct causes of maternal near miss are obstructed or prolonged labor, postpartum hemorrhage,rninfections, ruptured uterus, severe preeclampsia, eclampsia and unsafe abortion. Among the indirectrncauses of maternal morbidity and mortality anemia, malaria, hepatitis, tuberculosis andrncardiovascular disease account for the highest number of maternal deaths.rnObjective: To assess magnitude and factors associated with maternal near miss in selected publicrnhospitals of Addis Ababa.rnMethodology: A retrospective cross-sectional study design was used .A total of 497near miss casesrnwere identified from January 2014 to December 20014 from four selected public hospitals in AddisrnAbaba. Out of these 321 near miss cases were selected based on proportionally allocated sample sizernfor each hospitals data was collected using data extraction format adopted from WHO. Data wasrnentered into Epi data version 3.1 and transferred to SPSS version 20 and analyzed. To establishesrnassociations between dependent and independent variables and determine possible Association, Prnvalues, logistic regression and odds ratio at 95% confidence interval were used, Statisticalrnsignificance was considered at P-value less than 0.05.rnRUSELT The reviewed near miss cases were admitted with different diagnosis. The most commonrntypes of near-miss events fall under the diagnostic categories of hemorrhage, sevier pre-eclampsia,rnEclampsia, ruptured uterus, sepsis and obstructed labor. Heammorrhage was the major 179(55.8%)rndiagnosis at admission followed by sever preeclampsia 116(36.1%) . The least diagnosis was uterinernrupture which accounts for 4 (1.2%).rnOn logistic regression and bivaret multivariate analysis with hemorrhage and SPE; age, parity,rngestational age and ANC were significantly associated with OR.rnConclusion. There is a high frequency of maternal near miss at the level of these facilities thereforernmaternal health policy needs to be concerned not only with averting the loss life, but also withrnpreventing maternal near events or factors hemorrhage, hypertension, infection, ruptured uterus at allrncare levels including primary health care levels and community based level.rnRecommendation. Therefore maternal health policy needs to be concerned not only with preventingrnloss of life but also with preventing maternal near miss events like hemorrhage and hypertensionrndisorder and other all health care levels including primary health care by developing managementrnprotocols.rnKey words: Maternal near miss, complication, outcome maternal near miss events.