Thus the proposed MDG target of 109 will
not be attained [3,4]. An analysis of causes of maternal
mortality indicates that obstetric haemorrhage, particularly
post-partum haemorrhage (PPH), and hypertensive disorders
(preeclampsia/eclampsia) are the leading causes of
maternal deaths in developing countries [5]. In India,
these two conditions contribute to nearly 40% of maternal
deaths [6]. Effective interventions exist to address these
conditions [7-9]; however, the poor quality of obstetric services
provided can contribute to poor outcomes for
women and their infants [10].