Background: Maternal health disparities are pronounced in low-income settings, with emergency obstetric surgeries (EOS) significantly contributing to morbidity and mortality due to inadequate resources and systemic challenges.Objective: To evaluate trends in maternal morbidity and mortality following EOS in a low-resource healthcare setting and identify factors influencing patient outcomes.Method: A prospective study conducted at Barasat Government Medical College, Kolkata, involving 100 patients undergoing EOS over one year. Data on demographics, surgical outcomes, and complications were collected and analyzed statistically.Result: The study found a maternal morbidity rate of 48%, with sepsis (25%), postpartum hemorrhage (15%), and thromboembolic events (8%) as the most common complications. Maternal mortality was recorded at 12%, primarily due to hemorrhagic shock (58.3%), sepsis (33.3%), and embolism (8.4%). Blood transfusion was required in 40% of cases, with a delay in care observed in 60% of patients. Among those with delays, 75% experienced adverse outcomes, highlighting systemic gaps in timely intervention. Access to skilled birth attendants correlated with a 30% reduction in complications.Conclusions: The findings underscore the urgent need for improved surgical infrastructure, timely interventions, and enhanced training of healthcare professionals to reduce maternal morbidity and mortality in low-resource settings.