الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
a) Every year there are an estimated 200 million pregnancies in the world, each one of these faces the chance of an adverse outcome for the mother and the or the baby. Nearly 529,000 women between the ages of 15-49 die every year as a result of complications related to pregnancy or childbirth, exacerbated by existing poor health and inadequate care. Nearly all maternal deaths (99 percent) accur in the developing world-making maternal mortality the health statistic with the largest disparity between developed and developing countries.
For every woman who dies, 30 to 50 women suffer injury, infection, or disease or physical damage caused by pregnancy-related complications. A woman’s death is more than a personal tragedy-it represents an enormous cost to her nation, her community, and her family. The tragedy is that these women die fnot from disease but during the normal, life-enhancing process of procreation.
Over the last few decades there has been a dramatic growth of new medical practices and technologies in the field of reproductive health care. Many of these practices have been introduced before their benefits and safety were established in terms of improved health outcomes.
The emergence of evidence-based medicine in early 1990, not just in the field of maternal health, has led to growing consensus that what matters in health care is identifying and using interventions that has been shown by strong research evidence to achieve the best outcomes within available resources for every one. Evidence-based care can provide new guidance about how to allocate resources to maximize safety and women’s well-being.
The WHO is promoting evidence-based obstetrics and classifies practices in normal labor according to evidence