The study was conducted to know the maternal and fetal outcomes in women referred to a tertiary care centre. Data was collected for 150 cases referred to the tertiary health Centre in 2021-2022, which included the demographic characteristics, reasons for referral, high risk factors, intervention done and the maternal and fetal outcomes. It was found that the majority of the cases were referred from Dewas district followed by Ujjain and Mhow. Most of the patients were referred in the ante-partum and intrapartum period. Sixty seven patients needed surgical intervention. The average hospital stay was 7.37 days. Nineteen patients needed ICU admission with an average stay was 4.26 days. There was no maternal mortality, however out of 115 total births, there were 23 still births and 27 births with 1 minute Apgar score <7.