Each year, more than 340,000 women die in pregnancy and childbirth, with 99% of these deaths in developing countries and hemorrhage the most common cause worldwide. Bleeding can be controlled in a clinic, but we have shown that traditional midwives can use inexpensive misoprostol tablets to save lives in a woman’s home. This is where most births take place and most maternal deaths occur in the developing world--well beyond the reach of hospitals and government health services.