Each year, twice as many women die in childbirth as people who died in the 2004 tsunami. 99% of these deaths are in developing countries and hemorrhage is 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 reach of hospitals and government health services.