The level of individual well being in a family determines the maternal mortality rate. This condition will determine the level of child health and development as an important determinant of health that is an indicator of well being in a country. The main cause of high levels of of maternal mortality in developing countries as a lack of case management of the “at risk’ individual or population; management of “at risk” cases is too late. This is because of lack awareness of “at risk” client in overcoming the problems, lack of information, lack of access to health services, and lack of quality of human resource especially of health care every pregnant woman has the same probability of developing problems. The risk factors enable of pregnant women to become hig risk to have the health problems including socioeconomic status, sociodemographic status, life style and life events, and personal health practices. To decrease the impact of the “at risk” label or stigma in the community, a challenge for the health professional is to develop partnership and multisectoral approach with community so that an optimal outcome will be attained.