<p>Globally 158.8/100000 women die every year due to complications arising from pregnancy and its management and other incidental causes. Malawi’s maternal mortality rate has been high with current statistic being at 439/100000 while sub-Saharan Africa is at 533/100000. In 2003, maternal death became a notifiable event, requiring audit and surveillance. We assessed maternal death surveillance data from three hospitals to determine the major causes of maternal deaths, and response activities following maternal deaths.</p>