In the case of maternal death, Part 1 of the Medical Certificate of Causes of Death should be completed like we’ve discussed in module 2. This should always include clear information about whether mutual aggravation between a disease and pregnancy led to death, in other words, indirect maternal death.  In order for maternal deaths to be identified in the official mortality data, it is important to indicate whether a female was pregnant at the time of death, or up to 42 days prior to death.