CHAPTER ONE

• INTRODUCTION

Maternal death, also known as maternal mortality, has become the major cause of death among women of reproductive age in many countries and remains a serious public health issues especially in developing countries. A maternal death is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration of the pregnancy, from any causes related to or aggravated by the pregnancy or its management but not from accidental causes.

The trend in maternal death rates in England and Wales between 1880 and 1980 was such that the rate of maternal death remained on a high rate through the mid-1930s, after which there was an abrupt and step decline. There were few reliable data on maternal death rates in the United States before 1915, but thereafter, the united state had the highest rate of maternal death compared to any developed country.

It is therefore, based on this information and problem that this chapter focuses on the background of study, statement of the problem. Aims and objectives of the study, significance of the study, research questions, hypothesis, the scope of the study, and definition of terms.

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