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Aug 19, 2018 at 15:29 comment added JoshuaZ Note that Sierra Leone's maternal death rate is high even by historical standards. While the maternal death rate has declined worldwide, almost every country we have good data on in the 19th century had a maternal death rate below the current one for Sierra Leone. See ourworldindata.org/maternal-mortality . That said, some African countries had high death rates of this sort until very recently. The upshot is your choice of country is a pretty good one; this really is close to the maximum maternal death rate in the real world.
Aug 19, 2018 at 13:24 history answered L.Dutch CC BY-SA 4.0