In Afghanistan under Taliban rule where women are banned from education (no female doctors, no midwives), are banned from being seen by a male doctor and are banned from travel without a male companion, there is a 1 in 4 lifetime risk of death giving birth.
This doesn't mean one in 4 women in labour will die, rather that over the course of their reproductive life, with multiple pregnancies and births, 1 in 4 will die from a pregnancy/birth complication.
I have 3 sisters, in Afghanistan one of us would have already died.
This is a situation where women are forced to 'freebirth'.
Women who freebirth with access to an army of highly trained health workers, access to pain relief and neonatal care are crackers.