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Background: Maternal mortality is a major health problem concentrated in resource poor regions. Many studies on maternal death in Nigeria are purely clinical and do not involve the use of autopsy. The aim of this study therefore is to collate and examine the autopsy findings and anatomical diagnoses of maternal mortality at Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) Material and Method: A descriptive autopsy review of maternal deaths that occurred between January 1st 2005 and December 31st 2009 at Department of Morbid Anatomy and Forensic Medicine OAUTHC, Ile-Ife was done. Data for this study were collated from the autopsy records, autopsy register and clinical notes with the aid of an improvised Pro forma.