Th e most recent maternal mortality report from the UK revealed that sepsis was the leading cause of maternal death between 2006 and 2008 [32] . Sepsis resulted in 29 maternal deaths. Fifty percent of deaths occurred following Cesarean delivery, whereas 7 occurred after vaginal delivery. One third of these deaths occurred before 24 weeks of gestation. Th ere was a marked seasonal pattern; most deaths occurred between December and April. Associated factors included minority ethnic origin and the presence of sickle cell disease or trait. Interestingly, obesity was not a risk factor. Infant mortality in aff ected pregnancies was 45%. GAS was the principal pathogen, causing nearly 50% of deaths. All mothers who died from GAS either worked with or had children, and most of the mothers had a direct or family history of sore throat or respiratory infection. In the developing world, the mortality rate from puerperal sepsis remains extremely high (greater than 70%) and tetanus is a common cause of infection.