From 28 October 1991 to 30 December 199!2, in Jima Hospital, a teachin
g hospital serving a predominantly rural population in southwestern Et
hiopia, there were 841 deliveries and 573 abortions with 22 maternal d
eaths, a maternal mortality rate of 26 per thousand live births. Direc
t obstetric causes accounted for 19 of the 22 deaths. The non-obstetri
c causes were one case each of intestinal obstruction, cerebral malari
a and pneumonia. The most frequent causes of death were illegal aborti
on in nine, ruptured uterus in six and post partum haemorrhage (PPH) i
n three. Half of the deaths occurred within 24 hours of admission. The
causes of maternal death are analyzed and possible preventive measure
s are suggested.