الفهرس 
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Abstract
he pregnant mother may be exposed to a number of critical situations that may be associated with increased morbidity if not mortality to her and her baby.
Maternal morbidity and mortality as well as perinatal morbidity and mortality are important public health problems in developing countries.
The aim of this study was to compare retrospectively the obstetric outcome between two periods the years 2007-2008 and the years 2009-2010 in Gaza-Palestine, as well as to identify,
analyze and evaluate various risk factors.
The study was carried in Gaza UNRWA clinics-Palestine.
The study included a total of 42557 registered pregnancies during the study period (2007-2010).
An overall deterioration in the obstetric outcome in the period (2009-2010) when comparing it with the obstetric outcome in the period (2007-2008), and that was clear in the increase in obstetric complications-especially sepsis and venous thromboembolism,increasing in maternal mortality ratio and neonatal mortality rate, and the increase of abortions, stillbirths and
congenital anomalies frequencies.
Effective preventive strategies to reduce such problems should be based on accurate information about causes and predisposing factors contributing to this deterioration.