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i think i can sum it up by saying care is only as good as your access to it. the experts who were part of the report and also independent experts have said basically that there s three main factors here that are contributing to these rates. one is prenatal care. we know that you need to have good prenatal care and access to reproductive health care before and during a pregnancy. the postpartum period is important as well. up to two-thirds of the deaths are occurring in that period. paid maternal leave. in countries that have industrialized nations where there s paid maternity leave, numbers are higher. i want to point out that postpartum period is important. your care does not end when you leave the hospital after you have delivered the baby.