Mana is the source of magic in the world, and is connected to a person's life force. A witch contains the mana within their soul, and determines the physical constitution of the individual. Individuals are born with different amounts, which can grow as they age and will determine their potential of magical power. Those with large reserves are healthier and have a naturally longer lifespan than those with less reserves.
Powerful witches usually give birth to children. However, there is a downside to being at the top of the food chain. Maternity death rates are much higher among witches with larger reserves of mana. Stronger witches are at significant risk, as they are much more likely to have difficult pregnancies and die in childbirth. This has led to a strange situation in which the most successful, healthy, and powerful individuals have a higher likelihood of dying than those lower and less well-off in society.
How can childbirth death rates by higher among healthier people?