In the film, Vinod and Sethu lose their only child in an accident. Years pass and Sethu is still grieving. To comfort her, Vinod adopts a child, Tintumol (Mamattukuttiyamma), from an orphanage. Sethu, initially reluctant to love her, gradually develops an affection for her. But just when things are getting back to normal, Tintumol's biological father, Alex, starts trailing Vinod, constantly requesting to return his daughter. Now, Sethu and Vinod are dragged into a situation where they might lose their second child as well.
A couple, Sethulakshmi and Vinod, lose their daughter (Divya Unni) in an accident. The family was traveling in a boat, and the couple's daughter goes to the top of the boat to play with her doll. The other children throw her doll into the water, making her jump into the water. The couple search for the girl but in vain. They find her floating in the water, which comes as a big shock to Sethu.
Years later, Vinod decides to adopt a girl named Tintu. Sethu didn't want to adopt a child. Still, Vinod forces Sethu to see Tintu in the orphanage. Sethu refuses, as she lost her child and doesn’t want any more. Vinod makes her understand, and Sethu agrees. They adopt Tintu.
After Tintu is brought into the home, the couple becomes as happy as earlier. But problems arise when Alex asks for the child, claiming it to be his wife's child as a result of an affair before their marriage. Initially, Sethu refuses but later gives the child to her real mother.
The film's original title was Ente Mamattukkuttiyammakku, but due to a printing mistake, it came out as Ente Mamattikkuttiyammakku in posters and publicity materials. Fazil heard the name Mamoottamma from a household in Northern Kerala. He modified that name to create the character Mamattukkuttiyamma.[4]
Casting
Fazil selected Shalini for the title role immediately after he saw her photograph shown by someone in the production crew. She was three years old when she acted in the film. Although Shalini had already made her debut in Aadyathe Anuraagam, it was Ente Mamattukkuttiyammakku that gave her recognition. "Baby Shalini" became a successful child artist and appeared in similar roles in her subsequent films.[5]
Filming
The film was shot in Kochi and Alappuzha. The outdoor scenes showing Bharat Gopi's office and work site were shot in Hotel Vivanta near the Menaka bus stop. The building was under construction then. The scenes showing Gopi's home were shot in Alappuzha's west side near the beach. Some of the scenes were taken in Kakkanad, including Kusumagiri Mental Hospital. The film was made in just 30 days.[6]