Maternal survival has significantly improved since the adoption of the United Nations (UN) millennium development goals (MDGs), the maternal mortality ratio (MMR) has decreased in 44% of countries from 1990 to 2015, almost all of these deaths were in low and middle income countries (LMICs), where the MMR is about 14 times higher than in HICs. 2 Most of the deaths were deemed preventable and were caused by haemorrhage, sepsis (including human immunodeficiency virus and tropical diseases), preeclampsia, complications of