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The data presented here are based on 19 cases of hospital maternal death and 15 cases of maternal D.O.A. among total live births of 10290 in Ewha Woman`s University Hospital, Seoul during 6 years period from 1961 to 1966. The following results have been obtained. 1. For past 6 years from 1961 to 1966 the hospital maternal mortality has greately been lowered, the rate dropping from 29 to 9 per 10,000 live births. However the maternal D.O.A. mostely due to immediate postpartum hemorrhage(89%) from the home the home delivery (63%) or other clinics showed an increasing tendency. 2.The leading causes of maternal deaths in Ewha at present (1964-1966. 9) are toxemia (28.6%), hemorrhage(28.6%) and some others such as post cesarean section sepsis, choriocarcinoma, leukemia,(14.3% respecively). Until 4 years ago(1961-1963) toxemia deaths were exactly 100% of all maternal death. 3. It is interestiong to compare the maternal mortality and it`s significant difference between 2 group or ears; chloropromazine(1961-1962) and Magnesium sulfate(1963-1966) used for treating toxemias, the mortalit rate during MgSo4 era was reduced to 5 per 10,000 live births, or 1/5 of former eras`(26). Its was our experience that chloropromazine tent to develop or aggrivate dyspnea or pulmonary edema(83%) and to increase the inc- idence of failure of uterine contraction or of spontaneous delivery(67%) which sugestive of potent depression of all the important vital organs that consist of involuntary muscles. 4. Hemorrhagic death constituted the highest incidence of physician responsivility(50%) or preventable death and D.O.A. Showed even higher incidence of preventable death (78%). More than half or 63% of D.O.A. happened right after delivered at the home with or without midwife and 25% of them at general practioners clinic. Toxemia death in Ewha showed relatively less incidence of physicians responsibility (1/3 of cases) because more in patient responsibility due to the delayed visit(71%) or no single visit(86% no prenatal care). Infection death was only a case of Ceserean section-sepsis that operated on by a trained obstetrician, but at a general practioner`s clinic without regular sterilizing facilities, aseptic surgical suites or regular nurses. 5. In order to prevent maternal death every expectant mother should be deliveried at hosital or at movile car facilities supporting by special fund. Every general practioners should be educated regularly and at least familiar with managing the immediate post- partum hemorrhage and aseptic delivery. The post graduate educaton program is urgently required. Inteligent prenatal care and nurtritional support for pregnant woman are import socio-ecomonical measures to nation free of toxemic death.
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