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Achieving universal access to institutional delivery has been recognized as a major strategy for improving maternal survival. Despite improved coverage, financial barriers to accessing health care exist. High maternity-related health care expenditure is often considered as an important barrier in the utilization of health care during pregnancy and childbirth which may also be catastrophic for households. This study aims to investigate the incidence, intensity and socio-economic correlates of maternal health care expenditure in India. There is evidence of high burden of maternal health care expenditures, which varied significantly across states. Good implementation of government schemes can help to reduce the direct OOP expenditure for maternal health care.