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A confidential system of enquiry into maternal mortality, based on that used in England and Wales, was introduced in Malaysia in 1991 with a view to identifying deficiencies in care and recommending remedial measures.

Despite its many advantages, the employment of women in economic activity in India has been associated with increased mortality for infants and young children. Simultaneously, narrower gender differentials in child mortality among employed women have been noted.

Scrutiny and control of women's sexuality and women's reproductive role by the state are well recognized in the history of societies [Sarkar 1993]. Tribal wars over possession of women were rooted in the struggle for survival of the tribe itself.

Breast-feeding is the proud privilege of every mother. It gives her an opportunity to fondle her little one with tender care and looks forward to his growth and development with high expectations.

Every minute of every day a woman dies as a result of pregnancy or childbirth. The loss per annum of 500,000 women is mind boggling. A maternal death is the outcome of a chain of events and disadvantages throughout a woman's life.

Maternal death has been recognized as an area of maternity care that requires urgent attention. The most striking feature about maternal health today is the extraordinary difference in maternal death rates between developed and developing countries.

In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level.

Medical and public health experts advocate breastfeeding as the best method of feeding young infants for a wide variety of reasons.