Clinico-anatomical analysis is presented of 93 autopsies of pregnant women, women in childbirth and puerperas who died in 1985-1999 in the Arkhangelsk region. In this region complications after abortion occur less frequently than in Russia on the whole while the percentage of late gestosis, obstetric hemorrhage and pyoseptic complications were high than mean Russian. In small number of discrepancies between final clinical and anatomo-pathological diagnosis, high percentage of discrepancies was found in the diagnosis of the 3rd category and iatrogenia this being due to difficulties in clinical diagnosis of obstetic pathology and increasing incidence of surgical deliveries.