Maternal Death Review (MDR) is an important strategy to improve obstetric care and reduce maternal mortality and morbidity. MDR provides information on medical and contributory factors leading to maternal deaths to identify gaps in services and adopt measures to address them. MDR should seek to identify failures in the healthcare system without blame, and have a mechanism to find both medical and social causes of death. The information from MDR can then be used to prioritize interventions and reconfigure health services.