Objective: To use data from the National Statistical Service of Greece to e
xamine trends in maternal mortality and risk factors for maternal deaths. S
tudy Design: Maternal mortality in Greece has been studied from years 1980
to 1996 in total, by cause of death, by residency (urban/rural) and by mate
rnal age. The maternal mortality ratio (MMR) has been defined as the number
of deaths per 100 000 live births. Results: From years 1980 to 1996, there
have been 136 maternal deaths (MMR: 7). The number of deaths has significa
ntly decreased during this period and six major causes of death have been i
dentified. resulting in 80% of maternal deaths. A simulation of maternal mo
rtality between urban and rural areas has been achieved during the last dec
ade. Also. maternal mortality rises dramatically with age. Conclusions: Alt
hough overall rates of maternal mortality in Greece have been significantly
decreased over the last years, an improved recording of maternal deaths is
necessary for identifying preventable factors and developing effective int
erventions. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.