Institutional maternal mortality ratio

Number of maternal deaths among 100 000 deliveries in health facilities/institutions.

Number of maternal deaths in institutions.

Total number of deliveries in institutions.

Age, cause of death, geographic location, parity.

Labour ward registers, emergency admission registers, specialist ward registers.

Regular quality control for completeness, assessment and misclassification.

Number of maternal deaths among 100 000 deliveries in health facilities/institutions.

See also: Maternal mortality ratio (MMR)

Routine facility information systems, maternal deaths surveillance and response systems.

This indicator is an important outcome measure of quality and safety of care.

Labor and delivery, Maternal health, Mortality

World Health Organization (WHO). 2015 Global Reference List of 100 Core Health Indicators.; 2015.


Further information and related links

Countdown to 2015 decade report (2000−2010): taking stock of maternal, newborn and child survival. Geneva and New York (NY): World Health Organization/United Nations Children’s Fund; 2010 (Retrieved from

Indicators for monitoring the Millennium Development Goals: definitions, rationale, concepts and sources. New York (NY): United Nations; 2012 (Retrieved from

Keeping promises, measuring results. Commission on information and accountability for Women’s and Children’s Health. Geneva: World Health Organization; 2011 (Retrieved from

Next generation indicators reference guide: planning and reporting. Version 1.2. Washington (DC): The President’s Emergency Plan for AIDS Relief; 2013 (Retrieved from

The UNFPA Strategic Plan, 2014−2017. Report of the Executive Director. New York (NY): United Nations Population Fund; 2013.

World Health Assembly governing body documentation: official records. Geneva: World Health Organization (Retrieved from

World health statistics 2014. Geneva: World Health Organization; 2014 (Retrieved from

Filed under: Labor and delivery , Maternal health , Mortality