The study was designed as a population-based sample of all maternal de
aths over a one-year period in 21 governorates. A sample of 7487 decea
sed women of reproductive age was selected. During pregnancy, delivery
, or in the puerperium, there were 825 772 maternal deaths and 53 from
incidental causes. Of the maternal deaths, 69.5% were due to direct o
bstetric causes while 26.9 and 3.6% were due to indirect and unknown c
auses, respectively. The national maternal mortality ratio was 174 mat
ernal deaths per 100 000 live births.