Pregnancy-related death (maternal death)

The death of a woman during pregnancy or in the period after it ends, from a cause linked to the pregnancy. WHO and CDC count different time windows: WHO counts deaths up to 42 days after the pregnancy ends, and CDC counts pregnancy-related deaths up to 1 year after delivery. WHO's fact sheet, which does not state the time window it counts, says about 260 000 women died around pregnancy and childbirth in 2023.

  • Outcome
  • In this atlas

Overview

Technical summary

Two definitions are kept apart. WHO maternal death: while pregnant or within 42 days of termination of pregnancy, from any cause related to or aggravated by pregnancy or its management, but not from accidental or incidental causes (as quoted in a 2025 WHO analysis of the causes of maternal death); deaths from 43 days to under 1 year are late maternal deaths. CDC pregnancy-related death: during pregnancy or within 1 year after delivery and caused by a pregnancy complication, a chain of events started by the pregnancy, or the aggravation of an unrelated condition by pregnancy (2019 MMWR). The atlas holds the burden claims in separate contexts: WHO modelled global causes for 2009 to 2020, US surveillance for 2011 to 2015, 13-state committee review for 2013 to 2017, and the WHO fact sheet for 2023 (no time window stated). Bleeding deaths are one cause and have their own outcome record.

Definition

A maternal death under the WHO definition (up to 42 days after the end of pregnancy), and a pregnancy-related death under the CDC definition (up to 1 year after delivery). The two are different counts; each claim keeps its own definition.

Unit
deaths

Claims and evidence

Context Maternal deaths worldwide in 2009 to 2020, WHO systematic analysis of causes

Recipient
Maternal
Population
Deaths of women counted as maternal deaths under the WHO definition (while pregnant or within 42 days of termination of pregnancy, from a cause related to or aggravated by pregnancy or its management, not accidental or incidental). The analysis pooled civil registration data from 110 countries, government reports from 28 countries and bibliographic-database data from 20 countries, and modelled the distribution of causes by SDG region and worldwide.
Care setting
Not applicable: deaths in any setting, from country registration systems, reports and published studies
Geography
Global, 2009 to 2020
Life stage
Pregnancy, childbirth and the postpartum period up to 42 days after the end of pregnancy
Gestational age
Not reported
Postnatal age
Not reported
Follow-up
Deaths occurring in 2009 to 2020. Late maternal deaths (more than 42 days but less than 1 year after the end of pregnancy) are reported separately in the paper and are not part of this context.
Eligibility: 1 inclusion criterion; 1 exclusion criterion
Included
  • Maternal deaths occurring in 2009 to 2020 in the data sources the analysis included
Excluded
  • Not stated in the source
  • Description Evidence stage not applicable Certainty not assessed

    WHO defines a maternal death as the death of a woman while pregnant or within 42 days of the end of the pregnancy, whatever the length or site of the pregnancy, from any cause related to or made worse by the pregnancy or its management, but not from accidental or incidental causes. The WHO analysis of causes of maternal death uses this definition, and treats deaths from 43 days to under 1 year after the end of pregnancy as late maternal deaths.

    Applies to Maternal
    • Deaths of women counted as maternal deaths under the WHO definition (while pregnant or within 42 days of termination of pregnancy, from a cause related to or aggravated by pregnancy or its management, not accidental or incidental). The analysis pooled civil registration data from 110 countries, government reports from 28 countries and bibliographic-database data from 20 countries, and modelled the distribution of causes by SDG region and worldwide.
    • Not applicable: deaths in any setting, from country registration systems, reports and published studies
    • Global, 2009 to 2020
    • Pregnancy, childbirth and the postpartum period up to 42 days after the end of pregnancy
    • Gestational age Not reported
    • Postnatal age Not reported
    Follow-up Deaths occurring in 2009 to 2020. Late maternal deaths (more than 42 days but less than 1 year after the end of pregnancy) are reported separately in the paper and are not part of this context.
    Certainty method
    Not assessed
    Limitations
    The Lancet Global Health paper quotes this definition from WHO and uses it; the WHO definition document itself was not read. The paper says ICD-11 introduced comprehensive maternal deaths, which include all deaths up to 1 year postpartum.
    Last checked
    2026-10-15
    Next evidence check due
    Not scheduled
    Sources and citations (3)
    1. Supports Global and regional causes of maternal deaths 2009–20: a WHO systematic analysis

      Publication · The Lancet. Global Health · Edition PMC Open Access subset full-text XML, from NCBI E-utilities, retrieved 2026-10-15. · PMCID: PMC11946934 · PMID: 40064189 · DOI: 10.1016/S2214-109X(24)00560-6

      Locator
      Introduction, paragraph 1
      How it applies
      Open access full text (CC BY).
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      2f712a432be6d6473e6359a3e20b72b8ecae650a2ee625df222659f78ee5985d
      Reuse basis
      PMC Open Access subset article under https://creativecommons.org/licenses/by/3.0/ (named in the article). The raw XML is committed at research/snapshots/mk-pmc-PMC11946934.xml, which CC BY allows with attribution. Short quotations under 25 words.
    2. Supports Global and regional causes of maternal deaths 2009–20: a WHO systematic analysis

      Publication · The Lancet. Global Health · Edition PMC Open Access subset full-text XML, from NCBI E-utilities, retrieved 2026-10-15. · PMCID: PMC11946934 · PMID: 40064189 · DOI: 10.1016/S2214-109X(24)00560-6

      Locator
      Abstract, Findings, sentence 6, fragment 1 of 2
      How it applies
      Open access full text (CC BY).
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      2f712a432be6d6473e6359a3e20b72b8ecae650a2ee625df222659f78ee5985d
      Reuse basis
      PMC Open Access subset article under https://creativecommons.org/licenses/by/3.0/ (named in the article). The raw XML is committed at research/snapshots/mk-pmc-PMC11946934.xml, which CC BY allows with attribution. Short quotations under 25 words.
    3. Supports Global and regional causes of maternal deaths 2009–20: a WHO systematic analysis

      Publication · The Lancet. Global Health · Edition PMC Open Access subset full-text XML, from NCBI E-utilities, retrieved 2026-10-15. · PMCID: PMC11946934 · PMID: 40064189 · DOI: 10.1016/S2214-109X(24)00560-6

      Locator
      Discussion, paragraph on late maternal deaths
      How it applies
      Open access full text (CC BY).
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      2f712a432be6d6473e6359a3e20b72b8ecae650a2ee625df222659f78ee5985d
      Reuse basis
      PMC Open Access subset article under https://creativecommons.org/licenses/by/3.0/ (named in the article). The raw XML is committed at research/snapshots/mk-pmc-PMC11946934.xml, which CC BY allows with attribution. Short quotations under 25 words.

Context Maternal deaths worldwide in 2023, WHO fact sheet

Recipient
Maternal
Population
Deaths of women during and following pregnancy and childbirth worldwide in 2023, as the WHO fact sheet reports them. The fact sheet does not say which time window it counts.
Care setting
Not applicable
Geography
Global, 2023
Life stage
Pregnancy, childbirth and after birth
Gestational age
Not reported
Postnatal age
Not reported
Follow-up
The calendar year 2023, with a comparison to the year 2000
Eligibility: 1 inclusion criterion; 1 exclusion criterion
Included
  • Maternal deaths in 2023
Excluded
  • Not stated in the source
  • Burden Observational Certainty not assessed

    The WHO maternal mortality fact sheet, dated 7 April 2025, gives about 260 000 deaths of women during and after pregnancy and childbirth in 2023, around 92% of them in low- and lower-middle-income countries, and says over 700 women died every day that year of preventable causes. It reports that the maternal mortality ratio fell by about 40% worldwide between 2000 and 2023, and it names severe bleeding, mostly after childbirth, among the major complications behind around 75% of all maternal deaths.

    Applies to Maternal
    • Deaths of women during and following pregnancy and childbirth worldwide in 2023, as the WHO fact sheet reports them. The fact sheet does not say which time window it counts.
    • Not applicable
    • Global, 2023
    • Pregnancy, childbirth and after birth
    • Gestational age Not reported
    • Postnatal age Not reported
    Follow-up The calendar year 2023, with a comparison to the year 2000
    Certainty method
    Not assessed
    Limitations
    The fact sheet gives modelled estimates and does not state the time window it counts, so the 260 000 figure is not placed under the 42-day definition or the 1-year definition. The share of around 75% refers to the group of five complications the page lists together, not to bleeding alone. The page was read as shown on 2026-10-15; its figures may be updated.
    Last checked
    2026-10-15
    Next evidence check due
    Not scheduled
    Sources and citations (7)
    1. Supports Maternal mortality (WHO fact sheet)

      Webpage · World Health Organization · Edition Fact sheet dated 7 April 2025, as shown on 2026-10-15. · Published 2025-04-07

      Locator
      Overview, paragraph 1, sentence 2
      How it applies
      WHO fact sheet.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      8a3df0038fd325034fd3b9efe8999c17e6facda358fb786e8beb8979d1940f3b
      Reuse basis
      WHO website terms of use (https://www.who.int/about/policies/terms-of-use, fetched as mk-who-terms-of-use.html, sha256 8edac88c0773639d74a023402b231adafb407e8a680e6620c099eb5a17fb61ab) allow extracts to be reproduced for research or private study but not for sale or commercial purposes, with an acknowledgment of WHO as the source and the URL. The page bytes are not committed; only the hash is kept. Short quotations with attribution.
    2. Supports Maternal mortality (WHO fact sheet)

      Webpage · World Health Organization · Edition Fact sheet dated 7 April 2025, as shown on 2026-10-15. · Published 2025-04-07

      Locator
      Overview, paragraph 1, sentence 3
      How it applies
      WHO fact sheet.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      8a3df0038fd325034fd3b9efe8999c17e6facda358fb786e8beb8979d1940f3b
      Reuse basis
      WHO website terms of use (https://www.who.int/about/policies/terms-of-use, fetched as mk-who-terms-of-use.html, sha256 8edac88c0773639d74a023402b231adafb407e8a680e6620c099eb5a17fb61ab) allow extracts to be reproduced for research or private study but not for sale or commercial purposes, with an acknowledgment of WHO as the source and the URL. The page bytes are not committed; only the hash is kept. Short quotations with attribution.
    3. Supports Maternal mortality (WHO fact sheet)

      Webpage · World Health Organization · Edition Fact sheet dated 7 April 2025, as shown on 2026-10-15. · Published 2025-04-07

      Locator
      Key facts, bullet 1
      How it applies
      WHO fact sheet.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      8a3df0038fd325034fd3b9efe8999c17e6facda358fb786e8beb8979d1940f3b
      Reuse basis
      WHO website terms of use (https://www.who.int/about/policies/terms-of-use, fetched as mk-who-terms-of-use.html, sha256 8edac88c0773639d74a023402b231adafb407e8a680e6620c099eb5a17fb61ab) allow extracts to be reproduced for research or private study but not for sale or commercial purposes, with an acknowledgment of WHO as the source and the URL. The page bytes are not committed; only the hash is kept. Short quotations with attribution.
    4. Supports Maternal mortality (WHO fact sheet)

      Webpage · World Health Organization · Edition Fact sheet dated 7 April 2025, as shown on 2026-10-15. · Published 2025-04-07

      Locator
      Key facts, bullet 3
      How it applies
      WHO fact sheet.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      8a3df0038fd325034fd3b9efe8999c17e6facda358fb786e8beb8979d1940f3b
      Reuse basis
      WHO website terms of use (https://www.who.int/about/policies/terms-of-use, fetched as mk-who-terms-of-use.html, sha256 8edac88c0773639d74a023402b231adafb407e8a680e6620c099eb5a17fb61ab) allow extracts to be reproduced for research or private study but not for sale or commercial purposes, with an acknowledgment of WHO as the source and the URL. The page bytes are not committed; only the hash is kept. Short quotations with attribution.
    5. Supports Maternal mortality (WHO fact sheet)

      Webpage · World Health Organization · Edition Fact sheet dated 7 April 2025, as shown on 2026-10-15. · Published 2025-04-07

      Locator
      Why do women die, paragraph 2
      How it applies
      WHO fact sheet.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      8a3df0038fd325034fd3b9efe8999c17e6facda358fb786e8beb8979d1940f3b
      Reuse basis
      WHO website terms of use (https://www.who.int/about/policies/terms-of-use, fetched as mk-who-terms-of-use.html, sha256 8edac88c0773639d74a023402b231adafb407e8a680e6620c099eb5a17fb61ab) allow extracts to be reproduced for research or private study but not for sale or commercial purposes, with an acknowledgment of WHO as the source and the URL. The page bytes are not committed; only the hash is kept. Short quotations with attribution.
    6. Supports Maternal mortality (WHO fact sheet)

      Webpage · World Health Organization · Edition Fact sheet dated 7 April 2025, as shown on 2026-10-15. · Published 2025-04-07

      Locator
      Why do women die, list item 1
      How it applies
      WHO fact sheet.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      8a3df0038fd325034fd3b9efe8999c17e6facda358fb786e8beb8979d1940f3b
      Reuse basis
      WHO website terms of use (https://www.who.int/about/policies/terms-of-use, fetched as mk-who-terms-of-use.html, sha256 8edac88c0773639d74a023402b231adafb407e8a680e6620c099eb5a17fb61ab) allow extracts to be reproduced for research or private study but not for sale or commercial purposes, with an acknowledgment of WHO as the source and the URL. The page bytes are not committed; only the hash is kept. Short quotations with attribution.
    7. Background Maternal mortality (WHO fact sheet)

      Webpage · World Health Organization · Edition Fact sheet dated 7 April 2025, as shown on 2026-10-15. · Published 2025-04-07

      Locator
      Page header, date
      How it applies
      Fact sheet date.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      8a3df0038fd325034fd3b9efe8999c17e6facda358fb786e8beb8979d1940f3b
      Reuse basis
      WHO website terms of use (https://www.who.int/about/policies/terms-of-use, fetched as mk-who-terms-of-use.html, sha256 8edac88c0773639d74a023402b231adafb407e8a680e6620c099eb5a17fb61ab) allow extracts to be reproduced for research or private study but not for sale or commercial purposes, with an acknowledgment of WHO as the source and the URL. The page bytes are not committed; only the hash is kept. Short quotations with attribution.

Context Pregnancy-related deaths in the United States in 2011 to 2015, CDC Pregnancy Mortality Surveillance System

Recipient
Maternal
Population
Deaths reported to CDC's national Pregnancy Mortality Surveillance System that occurred during pregnancy or within 1 year after delivery and that medically trained epidemiologists judged to be pregnancy-related, meaning caused by a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy. This is a wider time window than the WHO definition of a maternal death, which stops at 42 days.
Care setting
Not applicable: deaths in any setting reported by state and city health departments
Geography
United States. CDC asks all states, the District of Columbia and New York City to send death certificates and linked records.
Life stage
During pregnancy and up to 1 year after delivery
Gestational age
Not reported
Postnatal age
Not reported
Follow-up
Deaths in 2011 to 2015
Eligibility: 1 inclusion criterion; 1 exclusion criterion
Included
  • Deaths during pregnancy or within 1 year after delivery that medically trained epidemiologists judged pregnancy-related
Excluded
  • Deaths judged not pregnancy-related

Context Pregnancy-related deaths reviewed by Maternal Mortality Review Committees in 13 US states, 2013 to 2017

Recipient
Maternal
Population
Pregnancy-related deaths that occurred during 2013 to 2017 and that the Maternal Mortality Review Committees of 13 states reviewed. Of 251 deaths evaluated for preventability, a determination was made for 232. This is a separate set of deaths from the national surveillance data for 2011 to 2015.
Care setting
Not applicable: committee review of deaths from multiple data sources
Geography
Thirteen US states (the abstract does not name them)
Life stage
During pregnancy and up to 1 year after delivery (pregnancy-related deaths)
Gestational age
Not reported
Postnatal age
Not reported
Follow-up
Deaths in 2013 to 2017
Eligibility: 1 inclusion criterion; 1 exclusion criterion
Included
  • Pregnancy-related deaths in 2013 to 2017 reviewed by the 13 state committees
Excluded
  • Not stated in the source

Clinical links

Each link reports what one cited claim says about one population. "Evaluated for" means studied, not shown to work. These links do not show that anything is effective or right for you.

Record details

Record id
maternal:outcome-pregnancy-related-death
Content hash
0332d45c8cfeac43aac76129d253b6c92b5d005685560d6900a9094e1b6fc8a8