Objective: To calculate and analyze the maternal mortality ratio in the hospitals of the Royal Medical Services over a five years period (2000-2005).   Methods: The data were obtained from the annual statistics reports of the Royal Medical Services, death certificates, medical records, and labor ward records.   Results: Nineteen cases were identified .The maternal mortality ratio was calculated to be 17.08 per 100,000 live births. Age, parity and socio-economic class were main the factors affecting the ratio. Obstetric hemorrhage and thromboembolic disorders were the two major causes of maternal deaths.   Conclusions: Maternal Mortality rate is a reflection of health care system of the country. In the absence of national registry for maternal mortality ratio, hospital based statistics will be of valuable alternative. The available maternal mortality ratio of 17/100,000 live births at Royal Medical Services hospitals is accepted figure and compares favorably with the international figures, with similar contribution of different causes.