The survey was conducted in the 14 Northern mountainous and Central Highlands provinces; Study subjects are all women aged 15-49 who died in their pregnancy or within 42 days after fermination of pregnancy from any causes excluding accident injuries or suicide from January 1st 2007 to December 31st 2008. The other study subjects are relatives of the above women and newborns died; local governments, related branches and sectors. Results show that: A total of 122 maternal deaths in 2007-2008 in 14 project provinces were detected, of which, 50 cases were detected from the reporting system of the provinces and 72 ones were from data collection in the community. The maternal mortality rate in the 14 mountainous provinces after adjusted was 119/100,000 live births. The maternal mortality rate was found the highest in the North-West: 242/100,000, followed by the Central Highlands:108/100,000, and lowest in the North East: 86/100,000. The matemal mortality ratio (the number of 1 matemal deaths per 100,000 women aged between 15 and 49 per year) in the 14 project provinces was 8.2. The maternal mortality ratio was found the highest in the North West (19.3), lower in the Central Highlands (8.9) and lowest in the North East (4.7).The leading direct causes of maternal mortality were hemorrhage (43.4 percent), followed by ecalmpsia/pre-eclampsia (10.7 percent). The maternal mortality rate of women having more than three children (283/100,000 live births) was 4 times higher than that of those having 1-2 children. The maternal mortality rate of women terminated pregnancy at home was very high (156/100,000 live births) and 5 times higher than that at commune health centers and hospitals (32/100,000 live births).
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