Background: Maternal Mortality Rate (MMR) is one indicator to see the health status of women AKI is also one of the targets set in the Millennium Development Goals (MDGs), namely improving maternal health where the target to be achieved until 2015 is reducing to ¾ the risk of maternal mortality.

Objective: Finding out whether the psychosocial determinants and obstetric medico effect on decision making refers to complications in the obstetric field.

Method: The type of research used was observational research with cross sectional study design. The population of the study were all maternity patients and referred to the 70-school network education hospital with the sample of 70 respondents.

Result: Results of the study showed that parity (p = 0,013), pregnancy distance (p = 0,000), poor obstetric history (p = 0.013) with complications at Network Hospital in Makassar City.

Conclusion: The results showed that the determinant factor of Medico obstetric more dominant influence on maternity referral with complication compared with psychosocial factor.