This book presents the findings of the RCOG Study Group on Millennium Development Goals, aimed at improving maternal-fetal health.Millennium Development Goals (MDGs) 4 and 5 challenged political, financial, medical and civil society leaders to improve both child and maternal health. The findings of the 58th RCOG Study Group provides an up-to-date review of progress to date and the challenges around meeting these MDGs.Millennium Development Goals (MDGs) 4 and 5 challenged political, financial, medical and civil society leaders to improve both child and maternal health. The findings of the 58th RCOG Study Group provides an up-to-date review of progress to date and the challenges around meeting these MDGs.Millennium Development Goals (MDGs) 4 and 5, created under the auspices of the United Nations, challenged political, financial, medical and civil society leaders to improve both child and maternal health. The 58th RCOG Study Group brought together a range of experts - including midwives, obstetricians and gynaecologists, anaesthetists and paediatricians - to provide an up-to-date review of progress to date and the challenges around meeting these MDGs. This book presents the findings of the Study Group, with sections covering: the size of the problem clinical problems and solutions - maternal clinical problems and solutions - neonatal training and development specific challenges in specific countries (Afghanistan, Zimbabwe, Egypt and Sri Lanka).Part I. The Size of the Problem: 1. The geography of maternal death Wendy Graham, Jacqueline Bell, Ann Fitzmaurice, Sarah Neal, Siti Nurul Qomariyah and Zo. Matthews; 2. Delivering on neonatal survival to accelerate progress for Millennium Development Goal 4 Joy E. Lawn, Kate Kerber and Christabel Enweronu-Laryea; 3. Beyond the numbers: reviewing maternal deaths and disabilities to make pregnancy safer Gwyneth Lewis; 4. Human resource challenges Soo Downe; Part II. Clinical Problems and Solutions - Maternal: 5. PostparlC