section_path: Health/Maternal mortality
section_name: Maternal mortality
paragraph_text: Maternal mortality
  
  Maternal mortality or maternal death is defined by WHO as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes." In 2008, noting that each year more than 500,000 women die of complications of pregnancy and childbirth and at least seven million experience serious health problems while 50 million more have adverse health consequences after childbirth, the World Health Organization urged midwife training to strengthen maternal and newborn health services. To support the upgrading of midwifery skills the WHO established a midwife training program, Action for Safe Motherhood.
  
  In 2017, 94% of maternal deaths occur in low and lower middle-income countries. Approximately 86% of maternal deaths occur in sub-Saharan Africa and South Asia, with sub-Saharan Africa accounting for around 66% and Southern Asia accounting for around 20%. The main causes of maternal mortality include pre-eclampsia and eclampsia, unsafe abortion, pregnancy complications from malaria and HIV/AIDS, and severe bleeding and infections following childbirth. Most European countries, Australia, Japan, and Singapore are very safe in regard to childbirth.
  
  In 1990, the US ranked 12th of the 14 developed countries that were analyzed and since that time the death rates of every country have steadily improved while the US rate has spiked dramatically. While the others that were analyzed in 1990 show a 2017 death rate of fewer than 10 deaths per every 100,000 live births, the U.S. rate rose to 26.4. Furthermore, for every one of the 700 to 900 women who die in the U.S. each year during pregnancy or childbirth, 70 experience significant complications, totaling more than one percent of all births.