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In page Women in Niger:

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With child marriage, high adolescent birth rates, and a high fertility rate comes high maternal mortality. With a maternal mortality ratio of 555 per 100,000 births, Nigerien mothers must overcome preexisting complications to ensure both lives come out successfully.[citation needed] A lack of quality medical care, adequate health care professionals, and economic well-being all contribute to Niger's very high maternal mortality ratio. Young women are also at a higher risk for complications during child birth. The vast majority of women who give birth at a young age and endure complications during child birth are married women.[citation needed]