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[[quoteright:350:[[Literature/TheBible http://static.tvtropes.org/pmwiki/pub/images/racheldeath.jpg]]]]
[[caption-width-right:350:"The Birth of Benjamin and the Death of Rachel," D. Chiesura (crop)]]
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->''"There was fiddling and dancing, on the day the babe was born\\
But poor Queen Jane, beloved, lay cold as the stone."''
-->-- "The Death of [[UsefulNotes/TheHouseOfTudor Queen Jane]]" ('''[[FolkMusic traditional]]''')

ParentalAbandonment occurs with an overwhelming frequency in fiction. On top of that, an overwhelming number of victims lose their mothers during childbirth. So sad, so tragic, so heart-wrenching... such a goldmine of a plot device. Nothing impossible about it, but the statistics are ridiculously high, especially for any industrialized nations. (Although, as Jane Austen observed, it was used ridiculously often even before modern medicine.)

May be used to set up a tense family situation where the father or older siblings unreasonably blame the youngest for [[MaternalDeathBlameTheChild "murdering their mother"]] and turn him/her into TheUnfavourite.

Can double as DeathBySex for a particularly {{Anvilicious}} [[AnAesop Aesop]]. Often used in FanFiction for shows where ParentalAbandonment is never explained. Very often a TruthInTelevision for at least 70% of the world's population. According to the UNFPA in 2005, while the lifetime risk of maternal death for people in 'developed regions' is 1 in 7300, the average worldwide is 1 in 92, rising as high as 1 in 22 women for Sub-Saharan Africa ([[ source]]). Note that the per-pregnancy risk is lower, since many of these cultures also have high birth rates, since they also tend to have high infant mortality rates.

In fact the use of it as a plot device might be OlderThanFeudalism, since unless his mother died in childbirth, the protagonist could be burdened with at least six siblings.

Notably, in fiction the mother might not stand a chance of living through the childbirth owing to the nature of the child's father being something other [[HumanMomNonHumanDad than human]]. Moreso if the baby is a FetusTerrible that follows a {{Chestburster}}[=-style=] of birth.

The dead mother may become TheLostLenore for the father, the child her last gift to him. She may also be considered to be TooGoodForThisSinfulEarth, or praised for strength and valor.

Incidentally, dying in childbirth is [[FamilyUnfriendlyDeath not pretty at all]]. Many such stories have a beautiful death that just results in the mother kissing her husband and baby goodbye. Writers often forget about the screaming, the bleeding, the fever, and the way that this agony could go on for ''days'', and such writers either Did Not Do The Research or just can't stomach it. It should be noted that some deaths in childbirth are pretty fast - a woman with uterine atony can hemorrhage to death in minutes without emergency medical intervention, but that's a ''lot'' of [[OverdrawnAtTheBloodBank blood]].

May be a set up for the WickedStepmother, PromotionToParent or MissingMom. If someone ''other'' than the mother or baby dies, it's BirthDeathJuxtaposition.

!!'''As a DeathTrope, several if not all spoilers will be unmarked ahead. Beware.'''


[[folder:Anime and Manga]]
* [[spoiler: Nagisa]] in the After Story of ''VisualNovel/{{Clannad}}''. [[spoiler:Her death is fortunately RetGone away via a wish.]]
* Mined for all of its drama in ''Manga/KodomoNoOmocha'', with Akito Hayama's mother Koharu. His father Fuyuki buried himself in his work and ignored his children in his grief, and the emotionally-scarred Natsumi abused Akito atrociously because she blamed him for both their mother's death and their father's neglect. Sana learns about this, pulls a small BatmanGambit to fix their home life, and it works.
** This is also touched in the sort-of sequel, ''Deep Clear''. [[spoiler: Sana and Akito are married and she's pregnant, but it's not an easy pregnancy for her and Akito is ''terrified'' since he fears Sana will die like Koharu did. This puts their relationship in quite the trouble, but with the help of [[Manga/HoneyBitter Shuri]] they work past it.]]
* According to the ''Anime/MobileSuitGundamWing'' manga ''Episode Zero'', Quatre Raberba Winner's mother Quatrina died giving birth to him, determined to both have a child by natural ways and give his father a son after his last twenty-nine test-tube children were all girls, though she ''knew'' beforehand that it would cost her her life since [[IllGirl her body was not fit for bearing children]]. For all the girls, she'd used artificial wombs instead.
** In fact, when Zayeed Winner asked the dying Quatrina "He's born healthy, but now you're going to die... Was it worth it?", she replied "I ''wanted'' to be the mother of your children!"... and those were her FamousLastWords.
** Garma Zabi's mother also supposedly died in childbirth in the original series. This may be justified by first generation space colonists having poor health due to excessive exposure to cosmic radiation & microgravity.
* In ''Literature/{{Another}}'' Kouchi's mother dies this way, [[spoiler: though it turns out that she was actually a casualty of the curse placed on the class her younger sister was currently in.]]
* ''Manga/KimagureOrangeRoad'': Akemi, Kyosuke and the twins' mother, died shortly after the girls were born.
* In ''Manga/HajimeNoIppo'', Takeshi Sendoh's grandmother explains to Fujii's assistant Mari Iizuka that her daughter-in-law died few after giving birth to him. It's not clear if Mrs. Sendoh died as a direct consequence of giving birth or it was just a coincidence, though.
* This was how Marik Ishtar's mother died in ''Anime/YuGiOh''.
* ''Manga/{{Naruto}}'':
** The Yondaime had been attempting to father a child who would be able to contain Shukaku, with Temari and Kankuro being incompatible. Gaara was a match and the Shukaku was sealed while he was in the womb, but Gaara was born extremely premature as a result. Karura was already very weakened by the childbirth itself, and soon she died.
** Sakumo Hatake's beloved wife died when she gave birth to their son Kakashi, whom Sakumo tried to raise as well as he could until he had to commit {{seppuku}} few years later.
* The manga of ''Manga/PetShopOfHorrors'' has Christopher falling mute upon learning from an angry cousin that he "killed his own mom." This, too, is justified in a DreamSequence held by his older brother, who talks with his mother, about her advanced age and poor health to begin with.
* In ''Manga/ElfenLied'', Kurama's wife Hiromi dies shortly after the birth of their daughter, [[EnfanteTerrible Mariko]], due to a Caesarian Section complication. Justified in that Hiromi was said [[IllGirl to have been sickly all her life]], couldn't conceive naturally, ''and'' couldn't give birth without a C-Section. She ''could'' have survived had Kurama not startled her by revealing [[OffingTheOffspring he intended to kill baby!Mariko]] since she was a diclonius; her reaction was understandable, if suicidal.
* In ''Manga/LetterBee'', Gauche Suede's mother, Sylvette, dies giving birth to his sister, who is also named Sylvette--he named her after his mother.
** Niche's mother didn't survive childbirth either, probably due to complications such as her own poor health at the time, giving birth to twins, and that her children [[CuteMonsterGirl were not normal humans]].
* ''Manga/OnePiece'' revealed that this is how Ace's birth mother Portgas D. Rouge died, after holding him in for ''[[LongestPregnancyEver twenty months]]'' to protect him and hide the identity of his father... who is none other than ''Gold Roger'' himself.
* Kana and Jun Ushiro's mother in ''Manga/{{Bokurano}}''. The elder sibling blames and abuses the younger for it. In a twist, the readers find out that Mrs. Ushiro was ''not'' Jun's mother, just his aunt (and in the manga, they weren't related at all, she was just the wife of his birth mom's teacher). His biological mom is [[spoiler:actually Captain Misumi Tanaka, the local ActionGirl.]] And she also dies, though not through childbirth.
* ''Manga/YuYuHakusho'' had an unnamed human woman, [[FanNickname Lady Doctor]], whom Raizen fell in love with. She died of childbirth and, several generations later from that child, led to Yusuke.
* ''Manga/TailOfTheMoon'': Usagi's mother dies because the baby had grown too big in her stomach, and since C-sections hadn't been around...
* Holland's mother died this way in ''Anime/EurekaSeven''.
* In ''{{Manga/Berserk}}'', Guts was found by Sys and Gambino under a hanged corpse, umbilical cord still attached. The exact chain of events is fuzzy.
** Death by Childbirth is so frequent that it's easier to just say who averts the trope: Casca. Because PlotArmor. [[FaceFullOfAlienWingWong Because]] [[ChestBurster reasons.]]
* In ''Manga/DanceInTheVampireBund'', the only sure way to sire a werewolf child is for the father to be in werewolf form when the deed is done. The ensuing pregnancy is extremely taxing on the mother, and more often that not kills her. Akira's mother is wheelchair-bound as a result of the birth of his younger brother.
* In ''Manga/{{Pretear}}'', we have Himeno's mother in the manga. Thing is, Kaoru hid it from Himeno herself, and it was her stepmother Natsue who told her.
* Occurs in ''Manga/ImmortalRain'', it's... [[{{Squick}} not pretty.]]
* This is a big part of Henri's backstory in ''Anime/MarginalPrince'', even though the anime itself doesn't really focus on it. [[AllThereInTheManual The website for the game the series is based on]] elaborates on it and lists it as a reason for the bad relationship between Henri and his father (who blames his son for it). The anime only hints at it when it's revealed that Henri isn't very keen on the topic of his parents. He also doesn't seem to like his birthday.
* Tsubasa Shibahime's mother in ''Manga/KareKano''. It becomes kind of a plot point when her father gets married again and, since Tsubasa had been a DaddysGirl from birth, [[ParentWithNewParamour it takes her a while to accept her new mother figure]]. (Who also was the nurse who took care of her after an accident.)
* In the AlternateUniverse ''Anime/StreetFighterAlphaGenerations'' OAV, it's said that a young woman named Sayaka [[spoiler: (who was a friend of Akuma and Gokuen, and implied to be the niece of their master Gotetsu)]] died like this. Her child survived, however, and grew into either the local NiceGirl Fuuka or series protagonist Ryu, with other pieces of evidence leaning more towards the [[spoiler: latter.]] [[spoiler: And the father? '''Akuma'''.]]
* In ''Anime/HeatGuyJ,'' this is implied to have been the fate of Clair Leonelli's mother. Interestingly, although his father ''was'' [[AbusiveParents abusive]], there's no reason to think his mother's death had anything to do with it.
* Played with in the third ''Manga/InuYasha'' movie ''[[Anime/InuYashaTheMovieSwordsOfAnHonorableRuler Swords of an Honorable Ruler]]'': [[spoiler: Though Inuyasha's mother Lady Izayoi does die in the process of giving birth to Inuyasha, it's mostly due to [[ImpaledwithExtremePrejudice Takemaru stabbing her with a spear]]. Thanks to Tenseiga, she gets better.]]
* Parodied in ''Manga/DragonHalf,'' where we learn that Princess Vina's mother Venus, a slime who had drunk People Potion to turn herself human so she could marry the king, survived the birth but was ''so shocked and ashamed'' to find that her daughter was born a slime like her that she died right then and there!
* Comes up in backstory in a few works made by Studio Gonzo, among them ''Anime/LastExile'' (Lavie's mother) and ''Anime/RomeoXJuliet'' (Tybalt's mother).
* Thid is what happened, in the backstory of ''Anime/SecretOfCeruleanSand'', to the mothers of Jane Buxton and her half-brother William.
* In ''Manga/{{Lady}}'', Lynn's half-sister Sarah's mother Frances is implied to have fallen victim to this, as she died shortly after Sarah was born.
* Happened to Tamahome's mother in ''Manga/FushigiYuugi'', when she was giving birth to her youngest child, Yuiren. Tamahome is especially protective of her.
* Happens to Rin and Yukio's mother Yuri in ''Manga/BlueExorcist'', in the middle of a forest, on top of a large flower. May be justified in that she had no doctor or midwife to help her.
* In ''Manga/RurouniKenshin'', Tomoe explains to Kenshin that her mother died when she gave birth to her much younger brother Enishi, [[PromotionToParent whom she practically raised.]]
* In ''Manga/CaptainTsubasa Rising Sun'', [[spoiler: Gakuto Igawa]]'s girlfriend died like this. He's had to raise their surviving child, [[spoiler: Risa]], pretty much alone from then on.

[[folder:Audio Play]]
* Lizzy from AudioPlay/WereAlive

* In the Literature/{{Child Ballad|s}} "Literature/WilliesLady", Willie's mother, a rank witch, has cursed her daughter-in-law to do this.

[[folder:Comic Books]]
* In a FlashBack story in ''ComicBook/ElfQuest'', Eyes High dies from blood loss shortly after giving birth to Skywise, after losing her lifemate and almost being sacrificed by a human tribe, all due to a prank by two of the tribe's boys that went horribly wrong.
* In ''ComicBook/{{Smax}}'' it's eventually revealed that Smax's mother died this way. She was raped by an ogre, who kept her in his cave and beat her, meaning she was in no condition to give birth when she did. She was tough. She might've survived the birth... if she didn't have twins.
* In [[Franchise/TheDCU the DC Universe]], the mother of Cameron Mahkent, the Icicle, froze to death giving birth to him--not unlike the goddess Izanami.
* In the Mirage ''[[Comicbook/TeenageMutantNinjaTurtlesMirage Teenage Mutant Ninja Turtles]]'' continuity, Casey Jones' first wife Gabrielle dies due to complications while giving birth to her daughter, Shadow.
* In the ''ComicBook/LittleVictory'' universe, the birth of supers, at least those of 'Pantheon Class' power, is accompanied by a burst of power that not only kills the mother, but anybody else in the near vicinity.
* Inverted in ''ComicBook/StrikeforceMorituri'' with Aline "Blackthorn" Pagrovna. As a subject of the Morituri Process, she should die within a year after acquiring super-powers. Instead, her pregnancy keeps her alive for several months afterward, and she dies soon after the baby is born.
* This is part of the origin of the [[ComicBook/RedSkull Johann "Red Skull" Schmidt]], his mother died giving birth to him and his father hatefully tried to murder him right there and then until stopped by the attending doctor. With that kind of beginning, Schmidt only sank further.
* This is one of the reasons Dupli-Kate and her twin brother Multi-Paul in ''ComicBook/{{Invincible}}'' have their multiplying powers. A bizarre curse on their family doomed their father to have so many children that he would be driven insane. Since their mother died in childbirth and he never remarried, it seemed like the curse would be averted. The curse got creative and gave Kate and Paul their powers, and their father did indeed go insane trying to handle the bizarre situation.
* As Vincent Frankenstein in ''Comicbook/TheFrankensteinMonster'' tries to put his scientific ambitions into work with The Monster, his wife gives birth to his child and dies in the process. His maid, dismayed by the fact that he put his work before his wife, kills him for his oversight.
* Maria Hill, former head of ''Comicbook/{{SHIELD}}'', was born "on a day when the mercury was frozen at 44 below[[labelnote:*]]about -42 Celsius[[/labelnote]]. Her mother didn't make it out of the hospital and her father never forgave her."
* A pair of ''ComicBook/WhatIf'' stories dealt with the ramifications of the ComicBook/FantasticFour's Invisible Girl dying in childbirth - v.1 #42 with Franklin's birth, and v.2 #30 with her second child, who in canon was stillborn (along with an alternate story in which both Sue and the baby lived).

[[folder:Fairy Tales]]
* Fairy tales are fond of leaving children vulnerable to the WickedStepmother this way. [[http://www.surlalunefairytales.com/sevendwarfs/index.html Snow White]] may be the best known (once Creator/TheBrothersGrimm bowdlerized to make the villainess the stepmother rather than the mother), but many others, such as "[[http://www.surlalunefairytales.com/authors/grimms/47junipertree.html The Juniper Tree]]" invoke it. The English fairy tale "Literature/{{Tattercoats}}" (collected by Creator/JosephJacobs) has the heroine left vulnerable by her mother's death because her grandfather then blames her for it.
** Just an aside, Creator/TanithLee's novel-length version of Snow White, ''Literature/WhiteAsSnow'', leaves the mother as the villainess but her fate is much like the original story other than the fact that she didn't use a spell to age, she just aged naturally while her daughter was missing and presumed dead. Being virtually unknown to her daughter even when they lived together helped. It's a thing. Her short story version, "Red as Blood", leaves the stepmother in place but Snow White herself is a vampire and the witch queen uses white magic and religious items to destroy her.

[[folder:Fan Works]]
* ''Fanfic/TheChildOfLove'': Through the story the cast discovers Asuka may die when she gives birth due to [[spoiler:Gendo’s tinkering with her daughter's DNA,]] and they try to find ways to prevent Asuka's death. At the final chapter [[spoiler:Shinji and other characters think for a moment she has passed away.]]
* One of [[WordOfGod the author's notes]] of ''Fanfic/GoldenDawnLostSunrise'' reveals that [[NumberTwo Woodfur]]'s mate died when giving birth to their kittens, [[TheMedic Snowcloud]] and Tigertail.
* In ''Fanfic/GettingBackOnYourHooves'', this is revealed to be the case with Trixie's [[spoiler:and [[CainAndAbel her sister]] [[BigBad Checker Monarch's]]]] mother, who died giving birth to Trixie. Trixie admits, even though she didn't know her mother at all, it still hurts to have lost her. Thankfully, her grandmother Helena was there to be a ParentalSubstitute.
* In the ''Anime/NeonGenesisEvangelion''/''Manga/TheFamiliarOfZero'' CrossOver fic ''FanFic/PointsOfFamiliarity'', at some point in the fic's backstory, this happened to Asuka. The same theme is carried over to the fic's more comedic rewrite ''FanFic/SurrogateOfZero'', and is touched upon a little more.
* Happened to Judy's mother in ''FanFic/{{Shadowchasers}}''; whether this had anything to do with her father [[InterspeciesRomance being a dragon]] is not known, but her raised her alone until, tragically, he was killed by an evil dragon [[TearJerker with his daughter watching.]]
* In the WesternAnimation/DarkwingDuck fanfiction series, ''FanFic/NegaverseChronicles'', this is what happened to Quackerjack's mom.
* In the ''Fanfic/Gensokyo20XX'' series, this almost happened to Ran when she gave birth to An due to unsaid pregnancy complications, making that narrowly averted, however, she was ill for some time afterwards. She gets better, though.
* In the Film/NightAtTheMuseum {{Prequel}}, ''FanFic/ChildOfMoonlight'', this happens to Inhapi, Kahmunrah's mother and one of Merenkahre's wives. Shepsheret views him as her son anyway and vice versa.
* According to one of the ''Fanfic/KillLaKillAU'' fanfics, Ragyou almost died as she was giving birth to Satsuki due to unknown pregnancy/birth complications. It was also noted that said complications could have killed Satsuki, too.
* In ''FanFic/TheSecondTry'' the audience is led to believe that Asuka died giving birth to Aki, even though it's a ForegoneConclusion that she survives. She did pass out as a result of blood loss and the strain of giving birth at 16 though.
* In ''[[http://archiveofourown.org/works/4661757 The Monstrous Company of Thorin Oakenshield]]'' this happened to Thorin's sister Dîs, which serves as explanation why she is not in the story [[spoiler: even though they are all female and that wouldn't have been a hindrance]]
* In ''Fanfic/ChildrenOfAnElderGod'', Asuka's mother Kyoko [[spoiler:voluntereed to get a fetus altered with alien [=DNA=] implanted in her womb. However the experiment was a disaster, and she died when she gave birth.]]
* An extremely dark example happens in the ''Fanfic/PonyPOVSeries''. Lord Tirek's mother died giving birth to him. He would later see her as weak for dying in such a way and consider her death [[SelfMadeOrphan was the first murder he ever committed.]] [[TheSociopath Which says a lot about Tirek.]]
* In ''Fanfic/TheBridge'', Princess Melpomene died giving birth to Sonata Dusk.

* ''Film/OurMissBrooks'': Lawrence Nolan's wife died giving birth to their only child, Gary.
* In ''Franchise/StarWars'', Padme died during childbirth since [[DeathByDespair "she's lost the will to live"]] and, you know, ''raise her children'' because the father is an asshole. A lot of [[FanWank fans]] have different theories of other factors that could have contributed to her death since the stated reason in the film is often seen as an example of George Lucas' bad writing, but none of them are confirmed.
** It doesn't help that she was choked by the dark side of the Force, was unconscious during Obi-Wan and Anakin's fight and probably had to go into premature labor.
* In the movie ''Film/JerseyGirl''. Creator/KevinSmith had the mother die before ever casting the film. (That was sorta the point of it, [[RealitySubtext how he'd react if his wife died he had to raise his daughter alone]].) This is also inverted, as it was not the actual childbirth that killed her, but a brain aneurysm that ruptured during the process. Any kind of excessive physical strain or exertion would have done the trick, or enough time for it to get bigger and hemorrhage on its own.
* The protagonist's mother in ''Film/DeconstructingHarry''.
* Joey burns in Film/FridayThe13thPartVANewBeginning.
* The titular character's mother in ''Boy'' died when his younger brother was born. This soon led to Alamein (the dad) [[ParentalAbandonment abandoning the kids]]. The younger brother, Rocky, later thought he had killed his mother from an overload of his "powers", which was just in his head.
* ''Jack and Sarah'' has two Sarahs in it, the mother who dies in childbirth, and the [[DeadGuyJunior daughter named after her]]. It's mainly a romantic comedy about the father recovering and hooking up with the American nanny though.
* Used at the start of ''Film/TheRedViolin,'' and partially justified and foreshadowed: Anna worries that her age will create complications during the birth.
* ''Franchise/{{Alien}}'' featured really bloody [[FaceFullOfAlienWingWong alien births]]. Quite different than the other examples, but still fits the trope.
** In ''Film/AliensVsPredatorRequiem'', the Predator-Alien hybrid enters a maternity ward and uses a pregnant woman as the host for its eggs.
* Happened in the backstory to Belinda's mother in ''Film/JohnnyBelinda''. Belinda's father resents her for it.
* Australian film ''Peaches'' does this in a rather gruesome way. The main character's mother is actually decapitated in a car accident, meaning she was born from a headless body.
** See also "The Breathing Method" by Creator/StephenKing.
* Primarily responsible for the title character's abandonment in ''Film/TheCuriousCaseOfBenjaminButton''.
* Blade's mother was dying when she was giving birth to him in the ''Film/{{Blade}}''. Didn't help she was vampirized though.
* The fate of Kristina in ''[[Literature/TheEmigrants The New Land]]''.
* A variant in ''Film/RevolutionaryRoad'': April bleeds to death from a botched attempt at self-abortion.
* A variant in the comedy/thriller ''Film/NorthSeaHijack'', in which Roger Moore's character (in explaining his dislike of women) says "Both my parents died tragically in childbirth".
* Ofelia's half-brother kills his mother during labor in ''Film/PansLabyrinth''--foreshadowed ahead of time as Carmen's having a ''very'' difficult pregnancy. She starts the movie heavily pregnant, is increasingly fragile as the movie goes on, and eventually ''suffers a hemorrhage'' [[AdultFear with only Ofelia there to look for help.]] By that point she becomes bedridden, and when she finally goes into labor, she's hanging by a thread. The cruel part is that she COULD have survived with some help, but her new husband Captain Vidal forces the doctor not to. It's a waste of medicine, since [[HeirClubForMen their baby is a boy and that's all he cares about.]]
* The beginning of ''Film/TheFlyII'' involves Veronica 'Ronnie' Quaife dying in childbirth while the CorruptCorporateExecutive does nothing to stop it because he wants to steal her mutant manfly-baby.
* ''Film/SpeciesII'', in which the human-looking offspring of the male alien age so quickly in the womb that they burst their way out.
* In ''Film/WhaleRider'', Pai's mother dies in labor as well as her twin brother.
* In ''Film/LarsAndTheRealGirl'', Lars's mother dies while giving birth to him. This leads Lars to believe he was responsible for her death and he becomes a shy hermit who lives in a shed as a result.
* This trope takes out Mr. Chips' wife in ''Film/GoodbyeMrChips'', along with their unborn child.
* Inverted in ''Film/{{Angus}}'': While the title character was being born, his ''father'' [[BirthDeathJuxtaposition had a fatal heart attack]].
* Played with in ''Film/SnowWhiteATaleOfTerror''. Lilliana (the mother) was already dying from a wound in her chest when Lilli was born. She instructed Frederich to cut the baby out of her because it was the only way to make sure Lilli didn't die with her.
* In the backstory of ''Film/SecondhandLions'', Hub's love interest, Jasmine, died this way, also taking their child with her.
* This is one of the things Pasteur is trying to stop in ''Film/TheStoryOfLouisPasteur''. Turns out all those women who died of "childbed fever" would have lived if doctors had been in the habit of washing their hands and sterilizing their instruments.
* DiscussedTrope in ''Film/TheForgottenFrontier'', a 1931 documentary about nurses ministering to the desperately poor mountain folk of Appalachia. The film points out that more women have died in childbirth in America than men have died in wars. Later, a desperate farmer has to leave his twin babies with the nurses after his wife dies in childbirth, and thus isn't around to nurse.
* Sarah in ''Film/TheCraft'' lost her mother this way, but instead of her father blaming her, [[ItsAllMyFault she blames herself]], and at one point AttemptedSuicide because of it.
* ''Film/BabylonAD'': Aurora dies giving birth to a pair of twins because she was designed not to live past delivery. Toorop is left to raise the children at his restored home in upstate New York.
* Jeriba dies giving birth in ''Film/EnemyMine''.
* In ''Film/UnderworldRiseOfTheLycans'', Viktor briefly mentions that his wife Ilona died giving birth to Sonja.
* In ''Film/BladeRunner2049'', Rachael died giving birth in the backstory.
* ''{{Film/Mythica}}'': Marek's mother died while giving birth to her.

* Subverted in ''Literature/ASeriesOfUnfortunateEvents''. Kit Snicket dies not as a result of childbirth, but because of the Medusoid Mycelium, the cure for which she refuses to consume because of its effects on unborn children.
* Jurgis's wife Ona dies this way in ''Literature/TheJungle'' while giving birth to her second child. The child also dies.
* In ''Literature/TheRomanMysteries'' Flavia Gemina's mother died giving birth to her younger twin brothers. Also, in ''The Slavegirl of Jerusalem'' the older sister of one of the main characters dies giving birth to twins.
* In Creator/DanAbnett's ''Literature/GauntsGhosts'' novels, this is how Gaunt's mother died (and half of why he was an orphan, necessary for being a commissar.)
** In ''Ghostmaker'' Corbec recounts how his mother had nearly died in childbirth and how Dorden, as a young medic, had saved her.
* In the Commercial DubsVCAndrews novel ''[[Literature/TheCasteelSeries Heaven]]'', Heaven's mother Leigh died giving birth to her. This causes Luke, Leigh's husband, to resent Heaven for "killing" the woman he loved. The circumstances of her conception (Leigh was raped by her stepfather) don't help much either.
** Also the fate of Gabriel(le) Landry in the Landry series, and Lillian's mother in the Cutler series. The Cutler series also contains a subversion: Jed Booth pretends that his wife Georgia died as a result of complications from Charlotte's birth, when Georgia really died from stomach cancer several days previously. This is to hide the fact that Charlotte is Lillian's daughter and the result of Jed raping her.
** This is a plot point in ''Daughter of Darkness'', where Lorelei discovers that she and all her "adoptive" sisters are her father's biological children--he impregnates his daughters, they die in childbirth, and the babies grow up to be beautiful young women who lure new victims to the house for him (he is a vampire.)
* In Jean M Auel's ''Literature/EarthsChildren'' series, Thonolan goes mad with grief after he loses his wife Jetamio to childbirth, along with their son. He eventually dies trying to take back a kill stolen by a lion, nearly taking his brother with him.
* Frances Hodgson Burnett's ''Literature/TheSecretGarden'': Technically, Lilias Craven died from falling out of a tree. The fall also triggered early labor, and Lilias was barely able to give birth to Colin right before she died.
* Harry's mother in ''Literature/TheDresdenFiles'', although it is later revealed that this was the result of a curse. A bad luck curse, to be specific. It was the usual medical nastiness that actually did her in; the curse just brought that on.
* In Creator/CharlesDickens's ''Literature/OliverTwist'', Oliver's mother Agnes Fleming died after giving birth to him, as the end to a huge BreakTheCutie process.
** Also implied, but not exactly spelled, in the case of David's mother Clara in ''Literature/DavidCopperfield''. And his unnamed baby half-brother died, too.
*** Also implied in the same book for David's first wife, Dora, probably to emphasize the similarities between her and Clara. Once again, the baby dies, too. These two examples are more realistic than many, as neither woman dies immediately after the birth, but both decline slowly over the next several weeks, similar to the Real Life example of Jane Seymour.
* Much more than a TearJerker is found in Frank Herbert's ''Literature/DuneMessiah'', as the death of Paul Atreides' Fremen wife and legal concubine Chani is the gravity point for half the book, before it actually happened. She dies during the birth of their second and third children, Leto Atreides II (not to be confused with Leto II, their unfortunate older brother, who was killed in a Harkonnen raid) and Ghanima. Chani's death is known to Paul and others via [[PsychicPowers prescience]] ([[VoluntaryShapeshifting Face-dancers]] actively try to profit from this, by offering Paul the chance / compromise / devil's bargain to [[CloningBlues clone]] Chani, which he just barely manages to refuse). This death is caused, or at the very least escalated, by the fact that Princess Irulan (Paul's legal wife, daughter of the deposed emperor, and Bene Gesserit, to name just a few) has been feeding Chani contraceptives for some 12 years for rather obvious political reasons (and because the Bene Gesserit did not want their millenia-long genetic project getting contaminated by the wildcard that was Chani's bloodline, and would have liked to ensure that Paul had children with someone more suitable, like Irulan, whom they could manipulate). According to Paul, Chani's death during childbirth was far less painful and cruel compared to her possible future fates had she survived.
* In ''Literature/TheOtherBoleynGirl'', [[DramaticIrony Anne wishes this fate on Jane Seymour when it's clear that HenryVIII has chosen her as a favorite.]]
* In ''Literature/TheEyesOfTheDragon'', a short fantasy novel by Creator/StephenKing, Queen Sasha survives a relatively difficult first birth. The second birth is extremely easy--until the midwife, on orders from court magician and BigBad Flagg, makes a small incision that causes the queen to bleed to death, unknown to anyone. The fact that she had a HundredPercentAdorationRating only strengthens the second son, [[TheUnfavorite Thomas]], in his belief that [[MaternalDeathBlameTheChild nobody in the kingdom likes him]] for anything but "[[UnexpectedSuccessor throne insurance]]."
* ''Literature/ASongOfIceAndFire'':
** Used in both Daenerys' and Tyrion's backstories; in both cases, it's justified by a particularly difficult birth (Dany was born as the family was fleeing from Robert Baratheon's assassins, and Tyrion's deformities lead to complications in labor.) Aside from this, it doesn't come up much, though it's mentioned as being a concern. Westeros' technology is at a medieval level, and it's fairly realistic.
** Also, it was hinted that [[spoiler: Lyanna Stark might have died in childbirth]]. The bloody bed in [[spoiler: Ned's fever dreams]] in Literature/AGameOfThrones is used to refer to a child birth bed elsewhere in the books. Of course, this comes up in certain theories about Jon Snow's parents ([[spoiler:specifically, that Lyanna is his mother and Prince Rhaegar is his father]]) and his SecretLegacy.
** Catelyn and Lysa's mother Minisa Whent died this way.
** In a non-back story variation, in ''Literature/AStormOfSwords'' Dalla also dies this way. In the middle of a battle, no less.
* The book series ''Literature/DragonridersOfPern'' includes seven births: One is normal, two aren't described (but we know they didn't kill the mothers, as they do appear later), two almost kill the mothers and two do kill the mothers. Fewer than half are "normal".
** Somewhat averted by the rediscovery of modern medical knowledge during ''All The Weyrs Of Pern''. The younger generation of Pernese produce numerous children with no problems mentioned.
** Also, one of the deaths was hardly "accidental", as Lord Fax effectively raped Lady Gemma into premature labor, with the intention of killing her in childbirth. He's then goaded into renouncing Ruatha in favor of her issue, giving Lessa the opportunity to arrange a duel in which he's killed. To Lessa's chagrin, Gemma ''does'' give live birth despite dying, and the resulting boy, Jaxom, becomes crucial to Pern's future.
** This was the fate of Larna, the mother of weyrleader F'lar. This fact is not revealed until toward the end of the series, when ''The Masterharper of Pern'' shows the life story of Masterharper Robinton and fills in many story gaps. (F'lar's father, F'lon, was the Masterharper's best boyhood friend.)
*** In the same book, F'lon mentions that his own mother died giving birth to him.
** Lessa, F'lar's Weyrmate and Weyrwoman of Benden Weyr, almost died giving birth to their only son F'lessan. It's implied that the complications from the difficult birth combined with the toll that frequent trips ''between'' have on human physiology has made her infertile. F'lar was so terrified by Lessa's brush with death that he actually doesn't want Lessa to get pregnant again.
* In the book ''Literature/{{Wicked}}'', Elphaba's mother dies after giving birth to the girls' younger brother, Shell. In the play, she dies while giving birth to her younger sister Nessarose, thanks to severe birth defects and poisoning.
* ''Literature/{{Sabriel}}'' opens with the protagonist Sabriel's mother dying giving birth to her.
* Done with the main character Amir in ''Literature/TheKiteRunner''. However his dad doesn't blame him for it at all.
* Creator/DeanKoontz uses this several times:
** ''From the Corner of His Eye'' takes it to ridiculous levels of tragedy. The lovely strict Catholic teenage girl gets horribly raped by the antagonist--who thinks they're role-playing--and hides the pregnancy from her family until she gets a brain aneurysm from all the wrapping up her stomach and dies horribly, giving birth to a kid who gets adopted by her sister in a show of bottomless compassion. And that's just the beginning...
** ''Life Expectancy'': Natalie Beezo dies giving birth, and Maddie Tock has a close call.
** ''Lightning'': Laura's birth is fatal to mother Janet. Laura herself has a very difficult delivery with her own child, and will not be able to have another.
* Mrs. Richard F. Schiller of ''Literature/{{Lolita}}'' dies in childbirth. Of course, it's not until the end of the book that we learn that she is actually... the eponymous Dolores "Lolita" Haze herself.
* [[BigBad Voldemort's]] mother, Merope Gaunt, in ''Literature/HarryPotter.'' It's noted that she could have saved herself with magic, but after her husband left her she basically wanted to die, leaving Voldemort to be raised at a Muggle orphanage.
* In ''Literature/WarAndPeace'', the [[EveryoneCallsHimBarkeep little princess]] dies giving birth to Prince Andrei's only son.
* Cathy I in ''Literature/WutheringHeights'' dies just after giving birth to [[DeadGuyJunior Cathy II]], having been severely weakened by BrainFever, though this isn't played for Gothic family romance laughs. Interestingly, ''Literature/WutheringHeights'' was (famously) not written by a man, but rather a motherless woman herself.
* Quite possibly because Witches also act as Midwives this has not yet happened in a ''Literature/{{Discworld}}'' novel, although Lady Sybil Vimes came close in ''Discworld/NightWatch'' and Rincewind's mother is said (in defiance of all logic) to have run away before he was born.
** And don't forget Granny Weatherwax making a difficult decision (because she couldn't expect anyone else to make it) at the start of ''Discworld/CarpeJugulum''.
* In Creator/TerryPratchett's ''Literature/{{Nation}}'', Daphne's mother dies giving birth. Her father's reaction to this is part of the reason for her being stuck on the island, and her dealing with it is a part of the plot, dealt with in a very touching scene.
* In Creator/RobinMcKinley's ''[[Literature/BeautyARetellingOfBeautyAndTheBeast Beauty]]'' and her "The Twelve Dancing Princesses", the heroines are motherless because their mother died in childbirth; in both cases, the baby also died. The author used this trope again in ''Literature/TheHeroAndTheCrown''--Aerinha's mother was said to have "turned her face to the wall and died," upon giving birth to a girl instead of a boy.
* The title character in Creator/AstridLindgren's ''Mio, my Mio'' was placed at an orphanage as a baby after his mother died at childbirth. This was common practice in Lindgren's native Sweden in the early 20th century, due to the idea that a man couldn't raise children without the help of a woman. Mio's adoptive parents wanted a girl, but there were only boys available, making him an unwanted adopted child. Lucky for Mio, his real father has been searching for him ever since his birth, and finally finds him and brings him home to the Land of Faraway, where the father is king. The book gives a beautiful description of parent and child being separated when the child is an infant and reunited later, likely inspired by the fact that Lindgren herself had to place her firstborn child in foster care during his first years of life.
* ''[[Literature/{{Twilight}} Breaking Dawn]]''. Somewhat subverted because Bella survives to Renesmee's birth, by being turned into a vampire.
* To a degree, used in ''Literature/OneHundredYearsOfSolitude''. Little Remedios, Colonel Aureliano Buendía's teenaged wife, dies when her already risky pregnancy with twins takes a turn for the worse. Later, [[GenkiGirl Amaranta Úrsula]] perishes after she gives birth to the last Aureliano... the son of her nephew and lover Aureliano Babilonia Buendía.
* In Creator/CSLewis's ''Literature/TillWeHaveFaces'', a [[TwiceToldTale retelling]] of Psyche and Cupid, the death of Psyche's mother in childbirth opens the way to Orual's [[PromotionToParent being her mother figure]]. [[MyBelovedSmother Rather much so.]]
* In ''Literature/{{The Shadow of the Wind}}'', Julian Carax, author of the eponymous book, has a DespairEventHorizon after his lover dies in childbirth (the child dies also). He never knew that the reason her family allowed her to die was because [[IncestIsRelative she was his sister]].
* Míriel in Tolkien's ''Literature/TheSilmarillion'' dies of weariness after giving birth to her son Fëanor, saying "[never] again shall I bear child; for strength that would have nourished the life of many has gone forth into Fëanor." (Indeed.) Kind of an interesting case in that she doesn't die immediately as a result of medical complications; she survives for at least a short time until, while wandering in Lorien's gardens, she basically falls into an eternal sleep.
* In Creator/JamesSwallow's ''TabletopGame/{{Warhammer 40000}} Literature/BloodAngels'' novel ''Deus Sanguinius'', after Inquisitor Stele attacked Rafen's mind to [[DrivenToSuicide drive him to suicide]], Rafen remembers all the deaths in his life. It starts with his mother, dead in childbirth. (Presumably from his younger brother Arkio, though it could be another child, or even Rafen, with Arkio as a half-brother.)
* ''Literature/WarriorCats'':
** In the first series, Silverstream dies while giving birth to her kits, causing much grief for her mate and the medicine cat who failed to save her.
** Mudfur's mate Brightsky also dies during the birth in ''Crookedstar's Promise'', thus making him become a medicine cat.
* In ''[[Literature/{{Redwall}} Outcast of Redwall]]'', Bluefen dies after giving birth to Veil Sixclaw, the title character.
* The protagonist of Creator/RobertAHeinlein's ''Literature/{{I Will Fear No Evil}}'' dies this way.
* It happens to a MisterSeahorse at the end of Tim Powers' ''Literature/TheStressOfHerRegard'' also, due to post-operative infection from the C-section.
* In ''The Last Letter Home'', the final book of Vilhelm Moberg's [[Literature/TheEmigrants "Emigrants" suite]], Kristina has a miscarriage and is told by a doctor that if she ever gets pregnant again it will lead to her death. A few months later she dies from another miscarriage.
* The ''Literature/WarWorld'' series has a lot of this, as childbirth is even more difficult on thin-aired Haven than on Earth, and breeding is an important theme of the series.
* Paul Sheldon in ''{{Literature/Misery}}'' had '''wanted''' to kill off the title character of his romance novel series in this way, but [[AxCrazy Annie Wilkes]] had other ideas and demanded a {{Retcon}} at shotgun-point.
* The fate of a main character in Creator/AnnMarieMacDonald 's ''Literature/FallOnYourKnees''. [[spoiler: The father was [[ParentalIncest her own father]], no less]].
* In ''The Whitby Witches'' trilogy by Creator/RobinJarvis, the goblin-like aufwaders have been all but wiped out by a curse which causes any female aufwader who becomes pregnant to fall fatally ill (all the blood in their veins [[BodyHorror turns to brine]]), usually within the first three months of conception. Even those who carry a pregnancy to term do so in vain, as the child almost invariably dies with its mother. The only exception to this rule is a young female named Nelda who, after becoming the only aufwader born since the laying of the curse to survive birth, later gives birth to the first baby born after the curse is lifted.
* In ''[[Literature/{{Nightside}} Hex and the City]]'', Merlin reveals that he'd torn his way out of his mother's womb in his haste to be born. As she was part of a Dark Age Satanic cult and trying to produce the Antichrist, it's hard to work up much sympathy for her demise.
* Hemingway's ''Literature/AFarewellToArms'' ends with the protagonist Henry's lover Catherine dying in childbirth. The child is stillborn.
* Melanie Wilkes in ''Literature/GoneWithTheWind'' dies after a miscarriage. Giving birth to her first child already almost killed her.
* Mothers of both [[Film/TheOmen Damien Thorn Sr. and Jr.]]. For extra delicacy, the former's mother was a jackal and he didn't have an navel. Work it out.
* In ''Literature/TheStoneDanceOfTheChameleon'', Carnelian's mother died giving birth to him.
* ''Litreature/ThePillarsOfTheEarth'': Tom's wife in the first chapter (after the prologue, that is).
* In ''[[Literature/KushielsLegacy Naamah's Curse]]'' by Jacqueline Carey, it is revealed that Queen Jehanne died giving birth to a daughter.
* ''Literature/LivesOfTheMayfairWitches'': Most women who sleep with a male Taltos end up like this, either when they violently miscarry or when the child (who grows to the size of an adult within hours) tears its way out of their womb. Ow, ow, ow.
* In some adaptations of ''Literature/AChristmasCarol'', Scrooge's dead little sister Fan and/or his mother suffered this, which could explain the implied [[TheUnfavorite distant relationship]] between young Ebenezer and his father. The Alistair Sim film includes the heart-wrenching scene of Fan's death. The book, however, does not mention the circumstances surrounding the death of either. A scene where Fred's wife knows an old favorite tune of Fan's suggests that she survived into Fred's childhood; and Fan's existence in the first place implies that if Scrooge's mother did die giving birth to him, his father must have remarried.
* Alanna and Thom's mother in ''Literature/SongOfTheLioness'' died giving birth to them. Their father was angry that despite her having the Gift, the magic wasn't enough to save her and thus forbid his children to ever using magic. Her death was implied to have also caused her husband to neglect his two children.
* General Stantnor's wife from ''[[Literature/GarrettPI Old Tin Sorrows]]'' succumbed to this trope shortly after giving birth to their daughter, Jennifer. Subverted in that the insanely-jealous General had actually engineered her demise, drugging her with an anti-coagulant and blaming the "mistake" on her physician.
* Almost happens to Anne twice in the ''Literature/AnneOfGreenGables'' series. Once, with her first child, in which the baby died as a result of being premature. And once that was only revealed in backstory, while giving birth to her sixth child and youngest son, Shirley.
* This is how Anna and Caleb's mother died in ''Sarah, Plain and Tall'':
--> Mama died the next morning [after he was born]. That was the worst thing about Caleb. "Isn't he beautiful, Anna?" Her [[FamousLastWords last words to me]].
* Yeerks in ''Literature/{{Animorphs}}'', due to BizarreAlienBiology, always die in the act of reproduction. Three Yeerks join together and then split into hundreds of offspring. [[FridgeLogic One wonders why individuals would choose to do this.]]
* Gothic novels in Creator/JaneAusten's time used it with such abandon that she actually lampshades its absence in ''Literature/NorthangerAbbey'':
-->''"She had three sons before Catherine was born; and instead of dying in bringing the latter into the world, [[LampshadeHanging as anybody might expect]], she [[DefiedTrope still lived on]]--lived to have six children more--to see them growing up around her, and to enjoy excellent health herself."''
* Appears to have been the case with the Kid in ''Literature/BloodMeridian.''
* In Creator/JohnMoore's ''Slay and Rescue'', mothers of both Prince Charming and the three female protagonists died in childbirth. [[LampshadeHanging Lampshaded]]:
-->'''Princess Aurora''': Is childbirth as dangerous as all that?
-->'''Princess Ann''': [The wizard] Mandelbaum says it's because royal families can afford physicians and the very best medical care. Consequently, they die like flies.
* ''Literature/StrangerInAStrangeLand'' has an example that's even darker than usual: Mike is the product of an illegitimate liaison, and when his mother died in childbirth, his mother's husband killed first the father and then himself.
* ''Literature/TheElricSaga'': The last empress of Melniboné "died bringing her sole thin-blooded issue into the world", as if Elric's DoomMagnet sundae needed that cherry on top.
* The [[OurDragonsAreDifferent Kantri]] in ''Literature/TalesOfKolmar'' have tremendous clawed hands with very limited dexterity. It's mentioned that consequently, when a child is turned the wrong way in the womb the results are disastrous--a birth sister might reach in to try and turn the baby, but usually mother and child both die. This situation comes up in ''Song In The Silence''; fortunately there's a human on hand who has no claws and delivers the child with no harm to either, though she's horribly burned and nearly dies herself.
* In ''Literature/TheLongEarth'', this is eventually revealed to have happened to Joshua Valiente's mother.
* The fate of the Karand girls impregnated by their demon prince in ''Literature/TheMalloreon''. The resulting FetusTerrible is large enough that vaginal birth is flat-out impossible. Polgara ends up drenched with blood when she tries to midwife one of these girls; Garion suggests that the demon infant may be trying to cut its way out of the womb in an inside-out Caesarian.
* ''Literature/ABrothersPrice'' mentions this. One of the Wakefield sisters died giving birth to a stillborn son.
* ''Literature/UnnaturalIssue'' begins with Richard Whitestone returning home mere hours after his wife Rebecca dies giving birth to their daughter Susanne. He is so upset that he gives orders that he does not want to ever set eyes on his daughter, leaving her to be brought up by the servants, and becomes a morbid recluse and shut-in.
* The ''Literature/TheHost'''s soul's reproduction system is a suicidal process for the Mother.
* Prue Ramsay dies in childbirth in ''Literature/ToTheLighthouse''.
* In Creator/SeananMcGuire's ''Literature/OctoberDaye'' novel ''Ashes of Honor'', Tybalt tells Toby about his first human love, who died in childbirth, with the child dying as well.
* In Creator/StephanieBurgis's ''[[Literature/KatIncorrigible A Most Improper Magick]]'', Kat's mother. Her sisters took PromotionToParent. Also Sir Neville and Mr. Collingwood's mother; when Mr. Collingwood tells her that Sir Neville blames him for it, Kat points out that her sisters don't; it's just proof that he's a bad brother.
* Swedish writer Simona Ahrnstedt gives us two examples in her debut novel ''Literature/{{Overenskommelser}}''. The first one is a straight one, where the female protagonist Beatrice explains that her mother died in childbirth (her baby sister died too). The second example is a downplayed or subverted one: Beatrice's cousin Sofia suffers from eclampsia, becomes very ill, but survives.
* ''Literature/{{Storyteller}}'': The queen died shortly after giving birth to her fourth child, Yoss.
* Lilia in ''Literature/WhereAngelsFearToTread''.
* There is some evidence to suggest that this was the fate of [[Literature/ThePictureOfDorianGray Dorian Gray's]] mother.
* Creator/GregEgan's ''Literature/{{Orthogonal}}'' trilogy universally plays it straight and justifies it with the fact that natural childbirth consists of the mother fissioning into four children. It's PlayedForDrama often enough, but mostly it's just accepted as a fact of life.
-->'''Yalda:''' I wish I could have met [my mother].\\
'''Vito:''' That's like wishing you could fly.
* The dragon Linn Dombegh in ''Literature/{{Seraphina}}'' dies giving birth in her human form to a human-dragon hybrid child, the eponymous Serahpina. It was especially traumatic for her husband Claude, as he had no idea she was a dragon beforehand, and one marker of a transformed dragon is their silver blood...
* Gun That Sings dies soon after Snow White is born in ''Literature/SixGunSnowWhite''.
* ''Literature/SkinHunger'' begins with the boy Micah looking for a magician to save his mother from this fate. [[spoiler: Turns out the magician is a fraud, who lets the mother die without doing anything at all to prevent it, and almost lets the baby die, too. Micah is the one who saves his baby sister's life, cuddling her to keep her warm, while his father grows cold and distant as a result of the mother's death.]]
* In ''Literature/MidnightsChildren'', Wee Willie Winkie's wife Vanita bleeds out after birthing [[spoiler:Saleem]] because [[ContrivedCoincidence the understaffed hospital is too busy fussing over Ahmed's broken toe]].
* In ''Literature/TheFolkKeeper'', Lady Rona, Lord Merton's first wife, died in childbirth; the baby died as well.
* In ''Literature/TheGolgothaSeries'', all women who give birth to half-Angel children, Nephilim, die in childbirth.
* In ''Literature/TheNekropolisArchives'', Devona Kanti's mother died in childbirth. This is apparently typical when human mothers give birth to {{Dhampyr}} babies.
* Barney's mother in ''Literature/TheHaunting'' died having him. He's convinced that he killed her and that everyone knows it.
* Happens to several different women in ''Literature/TheRedTent''. Justified, as the story is set during the Bronze Age.
* A variation occurs in Angela Johnson's ''The First Part Last'': Nia suffers from eclampsia while giving birth to her daughter Feather, leaving her in an irreversible coma.
* In the novella ''Literature/ATasteOfHoney'', Aqib's mother died diving birth to him. Aqib respects his father for treating him no different from his older siblings even though he was the cause of Master Sadiqi's beloved wife's death.
* In ''Literature/OutOfTheDust'', Billie Jo's mother dies giving birth to a baby, who also dies not soon afterwards. She (and her baby) however would have most likely survived if only [[spoiler:they hadn't been burned so badly a few weeks prior in a freak accident]].
* In ''Literature/MaledictionTrilogy'' this is what happens to all female trolls suffering from bleeding affliction (troll version of hemophilia). Basically, they are unable to stop the bleeding following childbirth or miscarriage. The baby usually also dies. This is what's happened to Penelope, wife of [[TheProtagonist prince Tristan's]] friend Marc.
* In ''Literture/CharlottesWeb'', Charlotte's DeathByNewberyMedal is a variation on this, as she dies two days after making her egg sac and laying her 514 eggs. It doubles as death from old age, since this is the natural end of a female barn spider's life cycle.
* ''Literature/TheSilerianTrilogy'': Calidar, Josarian's wife, died while giving birth to their baby (who died in the process as well). He mourns them throughout the first book and its part of his motivation for leading a rebellion, with nothing to lose now.
* ''Literature/JourneyToChaos'': Kasile's mother died giving birth to her, which is why she feels to pressured to excel as a queen. She doesn't have any siblings so there is no back up if she fails.
* ''Literature/SleepingBeauties'': This fate befalls Tiffany while giving birth to her son Andy, due to a number of factors working against her. First, they are in [[DreamLand ''Our Place'']] with no professional hospitals. Second, she's an ex-junkie. Third, the baby is a breech birth and has to be turned around inside Tiffany's womb first. And finally, the women helping her are forced to use a knife to give the baby enough room.

[[folder:Live Action TV]]
* Wilson's first girlfriend on ''Series/SeventhHeaven'' was given the DeathBySex approach in BackStory, just so he could be a dramatic Single Teen Dad character.
* On ''Series/{{Angel}}'', Darla the vampire dies during Connor's birth, but in a twist, it is because she stakes herself allowing Connor to live, since she was physically incapable of delivering a child.
* ''Series/{{Beauty and the Beast|1987}}'' had three horrifying cases of this:
** Vincent's foster brother Devin's mother died in childbirth with Father attending. This leads Father to not acknowledge Devin as his son until adulthood. Though Father claims that was because he didn't want to seem to favor his 'real' son. He is genuinely dismayed when Vincent points out he's gone to the opposite extreme.
** And of course Catherine herself has a rather heartbreaking (indirect) death by childbirth in that she is held prisoner throughout her pregnancy with Jacob and murdered shortly after without ever even holding her son. She lives just long enough to tell Vincent about their baby. Of course, considering the execs at the time, this could be an instance of ''DeathBySex''
** Vincent ''himself'' killed his natural mother. Father admits this through a very pained confession that the brutal fashion of his birth almost caused Father to kill Vincent at birth, but relented.
* ''Series/{{Bones}}'' seems to like using this to explain the absence of minor character's mothers. In The Doctor in the Den, Dr. Welton (Cam's ex-fiance)'s wife died giving birth to their daughter Michelle (who Cam then adopts following his death), and in The Puzzlemaster in the Pit, the victim had given up his child for adoption in college because his girlfriend died during childbirth and he couldn't care for a child alone.
* Rare villainous example: In the ''Series/CriminalMinds'' episode "A Thousand Words", the wife/accomplice of a serial kidnapper and rapist died this way after her murderous spouse committed suicide, leaving her with only his latest chained-up victim to help when she went into bloody labor.
* One episode of ''Series/{{Dollhouse}}'' features a man whose wife had recently died giving birth to their son. He hired the Dollhouse to imprint Echo with his wife's personality, feeling like he couldn't bond with the baby himself under the circumstances. Things fall apart, of course, and in the end he realizes how bad an idea it was.
* In the third series of ''Series/DowntonAbbey'', Sybil dies of eclampsia shortly after giving birth to her daughter.
* Dr. Greene's frantic attempts to avert this trope were [[TearJerker heart-wrenchingly]] portrayed in "Love's Labor Lost", an Emmy-winning episode of ''Series/{{ER}}''. Also almost played out with Carol, who nearly bled to death following the birth of her twins.
* The ''Series/{{Farscape}}'' episode "[[CharacterFocus Incubator]]" reveals that [[BigBad Scorpius]]' mother died giving birth to him. Justified by the fact that she'd been raped by a [[LizardFolk Scarran]] as part of a breeding program that had killed ninety other [[HumanAliens Sebacean]] females in a pretty similar manner.
* In ''Series/GameOfThrones'': Tyrion's mother and Daenerys' mother die after giving birth to them. Tywin and Cersei loathe Tyrion, and regard him as some sort of murderer because of this. [[spoiler: Jon's mother Lyanna Stark dies after giving birth to him, as it turns out in ''[[Recap/GameOfThronesS6E10TheWindsOfWinter The Winds of Winter]]''.]]
* Chuck Bass' mother from ''Series/GossipGirl'' died giving birth to him, the reason for his father's dislike of him. [[spoiler: Except she didn't. It's a long story and explained in a rather convoluted way to boot.]]
* In the ''Series/{{Haven}}'' episode "Ball and Chain", Beatrice Mitchell's grandmother died giving birth to her mother.
* In the sequel of ''Series/{{Heroes}}'', ''[[Series/HeroesReborn2015 Heroes Reborn]]'', this is the fate of [[spoiler: Claire. She became pregnant and went into labor the day of the Odessa bombing. Unfortunately, an eclipse caused by Phoebe Frady also took away her healing factor and the delivery process killed her.]]
* Used straight once on ''Series/LawAndOrderSpecialVictimsUnit'', when the poor mother had placenta previa, and had been kidnapped and locked up for a few days. [[LampshadeHanging Lampshaded]] in another episode, along with its unlikelihood:
-->'''Melinda Warner''': Like mother, like daughter, I've got no obvious cause of death on either.
-->'''Olivia Benson''': Are you thinking they might have died in childbirth?
-->'''Melinda Warner''': You rarely see it nowadays...
** And averted in another episode when Stabler's wife Kathy is on Cliché Road heading to Trope Avenue, having been involved in a car accident along with Olivia. She gives birth to a baby boy in an ambulance on the way to the hospital, then loses blood pressure and consciousness as the screen fades to black... only to have her wide awake and recovering fully when Stabler arrives at the hospital.
* ''Series/LittleHouseOnThePrairie'': The actual cause of death by Nancy Olesen's biological mother. For years, Nancy, a young Nellie Olesen-lookalike orphan with severe behavioral problems, had claimed she was abandoned by her mother, but her adopted mother (the evil Mrs. Olesen, of all people) helps Nancy come to terms with the fate of her birth mother.
** Several other episodes dealt with pre-eclampsia and birth-related complications. Two examples are the Season 7 episodes "A Faraway Cry" (Caroline Ingalls tends to a childhood friend who begins having complications with her pregnancy) and "Dark Sage" (the town's new doctor, who is black, is the only medical professional in the area who can perform a Caesarian section to save the mother's life, thereby averting the trope).
* On ''Series/{{Lost}}'', Ben's mother died in childbirth, making his father despise him. Of course, he eventually ends up murdering [[SelfMadeOrphan the surviving parent]]...
** Plus, ''every woman'' who conceived their child on the Island. Which is why Ben is so protective of his adoptive daughter...
*** And by 'protective' we mean [[KnightTemplarParent kidnaps his daughter's boyfriend and spends weeks brainwashing him in order to make him unable to perform.]]
----> I just didn't want you to get pregnant. [[CrowningMomentOfFunny Maybe I overreacted.]]
* In the ''Series/{{Merlin 1998}}'' series, Merlin's mother Elissa dies in childbirth. It is revealed shortly after that [[BigBad Queen Mab]] could probably have saved her if she wanted to, but she chose not to, because "She'd served her purpose".
* Arthur's mother in ''Series/{{Merlin 2008}}'' died in childbirth, after Uther makes a deal with Nimueh so she (the mother) can conceive.
* In the Chilean telenovela ''Papi Ricky'', male lead Ricky tells his daughter Alicia that her mom Catalina died in childbirth, but this isn't true since she ran away few after her birth. Catalina actually returns later, as a BrokenBird ''and'' with LaserGuidedAmnesia. She finds young Alicia and befriends her, but for a long time they don't about their bond. Also, in the GrandFinale, Ricky's main love interest and Alicia's ex-teacher, later adoptive mother Colomba dies after giving birth to Alicia's half-brother.
*** I read in the 90s, a book by Michael Medved, where he wrote that he had interviewed TV writers, about the huge number of runaway mothers and/or mothers dead in childbirth. At least one writer told him that TV writers simply don't like mothers! ("Symbolically killing my ex-wife" one guy told him.)
* In the pilot episode of ''Series/QuantumLeap'', "Genesis", Sam saves a woman who died in childbirth in the original history.
* On ''Series/ThePretender'', Brigitte died shortly after Baby Parker was born while she was on the run, something she knew would happen.
* One episode of ''Series/{{Smallville}}'' has Lex Luthor having a [[WonderfulLife dream about what would happen if he chose to be the good guy]]. Everthing looked rosy until his dream wife Lana died giving birth to their second kid. So Lex decided not to be the good guy.
* Henry VIII's third wife Jane Seymour, when portrayed onscreen. In reality, although technically it was the birth that killed her, she didn't actually die until almost two weeks later and was well enough to host a party after the christening (which per tradition neither she nor Henry attended). However, most cinematic and televisual adaptations have her die giving birth because it's more dramatic than the historical truth.
** Arguably averted in ''Series/TheTudors'', which follows the real life example.
* In the third season of ''Series/TheWalkingDead'', Lori goes into labor in the middle of a walker attack and begins bleeding heavily. As she had to with Carl, she ''must'' give birth via c-section. As you might imagine, c-section with a hunting knife in the basement of an abandoned prison doesn't end well for the mother.
* ''Series/XenaWarriorPrincess'': Meg's father: "My father died in childbirth." "Your father died in childbirth?" "He got drunk and fell off the roof while I was being born."

* The Tim [=McGraw=] song "Don't Take the Girl" ends with the girl in question "fading fast" after a difficult childbirth. Her fate is left hanging, with the protagonist praying to God to take him instead. (Although in the video, a young woman joins the main protagonist and his daughter; the woman is presumed to be "the girl" sung about all along, meaning she survived the childbirth and has recovered.)
** Country music in general is fond of this trope. (Well, [[StuffedIntoTheFridge dead wives]] in general, but especially this one.)
* The song "Light of Day Day of Darkness" by the doom metal band Green Carnation has both the death of the woman and the child in childbirth as a constant theme:
-->Through Crimson eye, And shattered lie, Behold the sacrifice, Of innocent life
* Threatened in "[[http://www.sacred-texts.com/neu/eng/child/ch006.htm Willie's Lady]]". His mother, a [[WickedWitch rank witch]], has enchanted his wife so she will never give birth, having been in labor for days. (Fortunately, Willie figures out how to undo the spell.)
--->''Of her young bairn she'll neer be lighter,\\
Nor in her bower to shine the brighter.\\
But she shall die and turn to clay,\\
And you shall wed another may.''
* In "[[http://www.sacred-texts.com/neu/eng/child/ch015.htm Leesom Brand]]", the lovers try to elope, but she goes into labor in the woods and dies with the baby.
* In "[[http://www.sacred-texts.com/neu/eng/child/ch016.htm Sheath and Knife]]", to conceal BrotherSisterIncest, the brother takes his sister to the woods to give birth, and she and the baby die.
* In "[[http://www.sacred-texts.com/neu/eng/child/ch170.htm The Death of Queen Jane]]", the queen is dying in childbirth and must implore them to perform a Caeserian section to save the baby. This would ensure her own death, but she succeeds.
* In some variants of "[[http://www.sacred-texts.com/neu/eng/child/ch102.htm Willie and Earl Richard's Daughter]]", the woman dies in childbirth, and the father must leave the living baby behind in hopes that the woman's father will get a nurse for it. He does.
* "[[Music/TheDecemberists The Rake's Song]]" involves a young woman who dies in the process of giving birth to her fourth child. Tragic, right? Think again. The narrator considers her death a blessing, and then proceeds to murder the rest of his children.
-->Ugly Myfanwy died on delivery, mercifully taking her mother along.
* Stevie Wright's "Evie (part 3)"
* Music/{{Live}}'s song "Lightning Crashes" is about a woman who dies in childbirth, her daughter being adopted afterward.
* "May" by Music/JamesDurbin:
-->''During birth I got my daughter, Jesus took away my May.''
* The Music Video for Music/{{Nickelback}}'s [[RescuedFromTheScrappyHeap "Lullaby"]], but the song is really about suicide.
* Music/VanDerGraafGenerator's "Killer" has an indirect example: the killer fish eats its mother as soon as it's born.
* Helen Reddy, "Keep On Singing," tells the story of a child raised by a single father. The opening lines: "I don't remember Mama. She died when I was born."
* "A Beginning from an End" by Music/JanAndDean initially describes a girl that reminds the narrator of an ex-girlfriend that suddenly left him. A spoken interlude ''a la'' "Dead Man's Curve" then reveals that the ex-girlfriend actually died in the hospital while giving birth to the girl that was described earlier in the song.

* The backstory for ''[[Pinball/WHODunnit WHO dunnit]]'' reveals that Trixie's mother died while giving birth to her.

[[folder:Religion and Mythology]]
* In Literature/TheBible, Rachel, the favorite wife of Jacob, dies giving birth to her second son, Benjamin. However, being both the youngest and Rachel's son actually makes Benjamin [[ParentalFavoritism favored]] by his father, who becomes especially protective once Rachel's other son, Joseph, "[[DeathFakedForYou dies]]."
** On a sadder note, Phinehas' wife dies while she gives birth to her son Ichabod, whom she names that because the glory of the Lord has departed from Israel when the Ark of the Covenant was taken by the Philistines in a battle where her husband was killed along with his brother Hophni.
* [[Myth/JapaneseMythology Izanami]], Shinto mother goddess, died giving birth to the fire god Kagutsuchi. Her husband Izanagi was so infuriated, he killed the newborn child (although its blood gave way to create numerous deities, such as Take-Mikazuchi). He tried rescuing his wife from the land of the dead, but she could not return to him and was now a deity of death, because of Izanagi fleeing from her and the ''ikusa'' and ''shikome'' she sent after him. She vowed to kill 500 people each day in the mortal world, to which Izanagi said he'd give life to 1500.
** Note that the death wasn't from the normal pain of giving birth, but from the burns that typically result in shoving a fire deity out of yourself.
* In the Cyprian version of her myth, [[Myth/ClassicalMythology Ariadne]] dies while giving birth to Theseus' children.

[[folder:Tabletop Games]]
* Women in the ''Pendragon'' RPG have an extremely high chance of suffering this; it's actually the most common cause of death, at least for female [=PCs=]. The system is also fairly misogynistic, reflecting many 'medieval values,' so childbirth is pretty much a female PC's main duty, unless they're very inventive with their character. At least one such PC made it her life's goal to avoid getting married and pregnant, just to avoid this.
* In a bit more metaphorical example of this trope, the creation of Slaanesh in ''TabletopGame/{{Warhammer 40000}}'' destroyed the Eldar civilization.
* ''TabletopGame/DungeonsAndDragons'',
** This tends to happen to mortals who are impregnated by fiends, although some manage to survive. (For instance, the most famous cambion is Iuz the Old, the son of Graz'zt and the sorceress Iggwilv; to date, Iggwilv still lives. Another notorious cambion was Orcus' servant Ely Cromlich, whose mother survived long enough to name him, at least.)
** There are ghastly stories about hags that state they can magically switch their own unborn infants with those of human females; a victim who brings the child to term is slain by the had-child. (''Van Richten's Guide to Witches'' claims that this is an in-universe UrbanLegend.)
* The birth of a werefox in the ''Kitsune'' supplement for the ''TableTopGame/OldWorldOfDarkness'' almost always causes this... sort of. For mystical reasons that are never completely explained, the birth of a Kitsune requires a sacrifice, so a non-Kitsune parent of a Kitsune has a 90% chance of dying when the child is born. Yes, this happens to fathers as well as mothers.
* The Weathermay-Foxgrove sisters, successors to Van Richten as ''TableTopGame/{{Ravenloft}}'''s most widely-read occult scholars, lost their mother to this trope. Probably justified: even today, twin births are always considered high-risk, and medical care even in Mordent is 17th-century at best.
* Can happen in ''TabletopGame/{{FATAL}}'', although this can easily be because the FetusTerrible is ''a sentient, raptophilic military fork just like its father''.
* According to the ''TableTopGame/{{Pathfinder}}'' supplement ''Blood of Fiends'', this is why "Motherless" is a [[InSeriesNickname canonical slang term]] for [[EldritchAbomination qlippoth]]- descended tieflings.
* In ''TabletopGame/ArsMagica'', there are rules for childbirth and midwifery. A woman's chance of dying in each birth is about one in five, though a good midwife provides for a substantially better chance. Incidentally, a Hermetic maga who has any interest in the subject can more-or-less ensure a trouble-free birth, though doing this for a noble family may be illegal depending on local Hermetic politics.
* Is explicitly stated to be impossible for female Chosen in ''TableTopGame/{{Exalted}}''. The infant may die, but not the mother. This is probably a specific design feature for the Dragon-Blooded, who must pass their power on genetically; the Celestial Exalts are just that tough. A certain amount of risk enters the equation if the Exalt gives birth too often (every five years is considered the minimum safe period), but the chances are still very slim.

* Cruelly twisted in the play ''Theatre/LongDaysJourneyIntoNight'': The mother was injured during the youngest son, Edmund's, birth and got addicted to morphine to ease her physical pain. This is one of the many cruel, final insults the father hurls at Edmund before the end of the play, and even he realizes ''he'' has gone too far in blaming him for that.
* Appears in the musical ''Kristina'', based on Vilhelm Moberg's [[Literature/TheEmigrants "Emigrants" suite]]. Though in this case it is a miscarriage that leads to the death of Kristina.
* In ''Theatre/OurTown'', the final scene of the play is about Emily looking back on the town and her life after she dies in childbirth.
* Maurice Maeterlinck's play ''Pelléas et Mélisande''--''much'' better known as an operatic adaption by Claude Debussy. The fey beauty Mélisande dies giving birth to a tiny child, as the OlderAndWiser King Arkel laments "now the child must live in her place: it's the poor little one's turn".
* Music/RichardWagner's operatic tetralogy ''Theatre/TheRingOfTheNibelung'' has this in store for Sieglinde, who dies as she gives birth to the hero Siegfried, [[TwinCest her incestuous child]] with her already dead twin brother Siegmund. Her sort-of "midwife", the dwarf Mime, takes baby Siegfried in.
* In ''Theatre/AMidsummerNightsDream'', the disputed page boy's mother died in childbirth, which is why Titania's raising him.

[[folder:Video Games]]
* Rebecca dies this way in ''[[VideoGame/TheWalkingDead The Walking Dead: Season Two]]''. While Rebecca doesn't die immediately, like most other examples of this trope, it's still what ultimately kills her. The group's decision to press on through a blizzard the morning after she gives birth makes Rebecca die of exhaustion, and then she's shot in the head by either Clementine or Kenny during a MexicanStandoff as she starts to turn into a zombie.
* Altaïr Ibn-La'Ahad's mother from ''VideoGame/AssassinsCreedI''.
* Booker [=DeWitt=] in ''VideoGame/BioShockInfinite'' never even mentions the name or his actual relationship with 'the woman in his life', only that she died giving Childbirth, and he lost the child, Anna, not long after. [[spoiler:But she was lost in a different manner.]]
* In the adventure game ''VideoGame/BadMojo'', protagonist Roger Samms' mother died giving birth to him, and he grew up with his father resenting him for it. In what is [[LukeIAmYourFather far from a coincidence]], his landlord Eddie's late wife died giving birth to their son...
* In the survival horror game ''VideoGame/CampSunshine'', this is how the mother of [[spoiler: the game's main antagonist, Isaac Illerman,]] died about two decades before the game takes place.
* Psycho Mantis's FreudianExcuse in ''VideoGame/MetalGearSolid'' is that his mother died in childbirth, prompting his father to blame him for her death. When his PsychicPowers developed, he read his father's mind, and saw how much his father hated him. He was overwhelmed, blacked out, and woke up hideously scarred with his hometown in flames.
* ''VideoGame/{{Fallout 3}}'' starts with the PlayerCharacter's birth, leading to his/her mother's death.
** In the backstory of ''VideoGame/FalloutNewVegas: Honest Hearts'', the survivalist [[PosthumousCharacter Randall Clark]] lost his second wife and unborn son to a breech birth.
* In the AdventureGame AdaptationExpansion of Harlan Ellison's ''VideoGame/IHaveNoMouthAndIMustScream'', one character's life is chillingly and clinically summed up, one event at a time. The first is ''"You were a Cesarean. Your mother died on the operating table. You went to live with your grandparents."''
* Used in couple of ''Franchise/FinalFantasy'' games.
** In the added backstory in the UsefulNotes/NintendoDS version of ''VideoGame/FinalFantasyIV'', Cecil's mother died giving birth to him. For Cecil's elder brother Theodor, her death combined with Kluya's death just shortly earlier is what allows Zemus to gain control of Theodor and turn him into Golbez.
** This is part of Gau's backstory in ''VideoGame/FinalFantasyVI''. His mother's death is what caused his father to go mad and [[RaisedByWolves leave him in the Veldt]]. The Japanese and the retranslated versions also stated that Edgar and Sabin's mother died giving birth to them. And then then there's Relm's mother.
** This is the official explanation of what happened to Sephiroth's mother "Jenova" in ''VideoGame/FinalFantasyVII.'' Besides that, his actual, human mother Lucrecia Crescent tried to kill herself shortly after he was born and ended up vanishing from the public eye. The way it was translated originally made it sound a lot like she died in childbirth and the player actually met her ghost later on; Lucrecia is actually trapped in a FateWorseThanDeath, having frozen herself in a CrystalPrison since she has Jenova cells that won't let her die ''and'' feels horribly guilty for her part in Seph's truly screwed up origins.
** In ''VideoGame/FinalFantasyVIII'' Squall's mother Raine died in child birth and he was sent to the orphanage.
** Aire's mother, the Queen of Horne, died this way in ''VideoGame/FinalFantasyThe4HeroesOfLight''. [[spoiler:The party eventually goes back in time and prevents it by bringing her ''real'' husband back to care for her. He'd been turned into a parrot and replaced by a demon in the original timeline.]]
* ''VideoGame/SilentHill3'' has an [[MindScrew utterly bizarre]] example that technically fits the trope, involving the demon FetusTerrible in Heather's womb which will kill her when it's born, and actually does kill Claudia after she eats it (it's a long story).
** It's worth mentioning that if you don't figure out what to do to cause this scene, then Heather will suffer the consequences.
* [[{{Fanon}} Commonly assumed]] to be the case with Marowak and Cubone in ''Franchise/{{Pokemon}}'' based on the latter's Pokédex entry.
** Can lead to a MindScrew if the trainer decides to breed their Marowak. How can the Cubone be wearing its dead mother's skull if it's mother is still very much alive?
* ''VideoGame/TeamFortress2'': This is part of RED and BLU founders Redmond and Blutarch's [[spoiler: as well as their twin brother, Gray's]] backstory. Their mother Bette dies in childbirth, with her husband, Zepheniah, dismissing it as her "finally having done something right". His business partner, Barnabas Hale, however, starts ''sobbing'' when he hears the news.
* In ''VideoGame/DragonAgeOrigins'' the assassin Zevran's mother died giving birth to him and he was raised in a whorehouse before being sold to the Crows. Zevran seems to blame himself for her death, referring to her as his "first victim". One of the unique gifts the player can give him (for quite a few approval points) is a pair of Dalish gloves similar to the ones his mother left behind.
** Alistair's mother died giving birth to him, too. For extra points, he was the illegitimate son of the king, and his half-sister Goldanna blames him for their mother's death (and just about everything else). She's a lovely person. [[spoiler:WordOfGod says that this actually isn't true, and that Alistair's mother is really an elven Grey Warden named Fiona who's still alive but doesn't want him to know their relation.]]
* ''VideoGame/TheKingOfFighters'' fans [[{{Fanon}} widely believe]] that [[AntiHero Iori Yagami's]] birth mother died in childbirth as a consequence of the Orochi curse. It has neither been confirmed nor {{jossed}} in canon, but since the aforementioned Orochi curse is ''incredibly'' strong and very painful on the members of the Yagami clans, it's a fairly understandable assumption.
* A rather unusual variant occurs in ''VideoGame/FatalFrameVMaidenOfBlackWater'': giving birth to a half-ghost Shadowborn severely reduces the mother's lifespan down to a few years. This is what Miku's fate will be since her daugher's a Shadowborn, and it's even hinted [[spoiler: that she's DeadAllAlong, despite her reunion with Miu, in one of the endings.]]
* ''Franchise/FireEmblem'':
** In ''VideoGame/FireEmblemAkaneia'', [[spoiler: Anri the Hero's beloved Princess Artemis [[StarCrossedLovers not only couldn't marry him]] [[UptownGirl because he was a commoner]], but fell victim to this trope when she brought her and Duke Cartas' child to the world. The poor woman's last words were a curse on the titular [[MacGuffin Fire Emblem]], which she dubbed '[[LoveHurts the end of war, but also the end of love]]'.]]
** In ''[[VideoGame/FireEmblemJugdral Thracia 776]]'', it looks like [[spoiler: Prince Galzus]]'s wife died while bringing their child [[spoiler: Mareeta]] to the world.
* ''VideoGame/{{Utawarerumono}}'': Yuzuha dies either in childbirth or shortly afterward, leaving behind Hakuoro's daughter, Kuon. This is unsurprising, given her [[IllGirl chronically poor health]], but she desperately wanted to leave behind proof that she had lived. Kuon goes on to become a major protagonist in the next two games.

[[folder:Visual Novels]]
* In ''VisualNovel/UminekoWhenTheyCry'', Beatrice Castiglioni, Kinzo's beloved mistress, died this way after giving birth to their daughter, Beatrice II. This officially warped Kinzo into the insane old man we know and love, but what's worse is that he eventually [[ParentalIncest raped Beatrice II]] under the self-delusion that she was her mother's reincarnation, making her pregnant.
* Narrowly averted in Kakeru's route of ''VisualNovel/TenDaysWithMyDevil''. The protagonist's sister Makoto has had weak health for most of her life; complications with her pregnancy end up requiring an emergency C-section, and Makoto and the baby both nearly die on the operating table, but pull through with the help of Kakeru's power over [[LiquidAssets life energy]].
* Kano's mother in ''VisualNovel/{{AIR}}''.
* [[IllGirl Nagisa]] in ''VisualNovel/{{Clannad}}'' After Story. Luckily for her, [[RetCon she recovers]] at the end of the anime and survives the birth in the visual novel's True End.
* Can potentially happen in ''Yume miru kusuri''. [[spoiler: Both of [[StudentCouncilPresident Mizuki]] [[SchoolIdol Kirimiya]]'s endings involve TeenPregnancy; while her Happy Ending has her and Kouichi reunited [[BabiesEverAfter and raising their daughter together]], the Unhappy one has her disappearing and dying of this.]]

* It's heavily implied that Sam's mother died from complications after childbirth in ''Webcomic/{{Cheer}}'' but Sam's father insists that she's not to blame.
* ''Webcomic/KevinAndKell'''s [[http://www.kevinandkell.com/2001/kk1001.html Wanda Woolstone]] [[http://www.kevinandkell.com/2001/kk1008.html dies in childbirth giving birth to Corrie, which serves as a FreudianExcuse for her father Ralph]] [[http://www.kevinandkell.com/2001/kk1009.html to want to eat Kevin in order to spare his sister the same grief]].
* The end of ''Webcomic/AndersLovesMaria''.
* Thump Sharpley's mother in ''Webcomic/EverydayHeroes'' [[http://eheroes.smackjeeves.com/comics/2113039/the-ability-to-shut-up/ died during childbirth.]] Thump had to be rescued by c-section, but sustained a small amount of brain damage due to lack of oxygen.
* In ''Webcomic/DragonMango'', [[http://dragon-mango.com/comic/chapter07/dm07-26.htm Blossom died in childbirth, perhaps because the baby was half-oni.]]
* Chesska, wife of ''Webcomic/{{Archipelago}}'''s Anthony, dies during childbirth. This is implied to have permanently embittered Anthony, as later on his colleagues remember him as cold, ruthless and unlikable.
** [[FromBadToWorse It Got Worse]]. Much worse. Blitz (Anthony's new identity after completely losing his mind and memories) starts to cry at the birth of Deliza and Mikel's child, not knowing at all why. He later on has a vivid dream that he wakes up shaken and confused from, also not having a clue as to what any of it meant. Turns out that dream was a memory of Chesska.
*** When their child, Clair, is introduced as the fourth Heir, Blitz has no idea who she is either.
* This is the fate of Chloe's sister Ursula in ''Webcomic/BadMoonRising''.

[[folder:Web Original]]
* In ''Roleplay/TheGamersAlliance'', Viirsa gives birth to Kaisa and dies in her lover [[MightyGlacier Hector's]] arms after being fatally wounded in the aftermath of the infiltration of Myridia during the Great War.
* The mother of the Fiametta triplets in ''Roleplay/SurvivalOfTheFittest'' version 4, which sets up most of the trio's future emotional issues.
* In ''WebAnimation/RetardedAnimalBabies'', Puppy's mother died giving birth to him (he was the last puppy out of a huge litter). His father Creator/SeanConnery (yes, really) immediately accuses him of murdering her. Puppy had suppressed this memory for years and didn't take it well at all when it resurfaced. Hamster assumes this is Puppy's FreudianExcuse for his AnythingThatMoves behavior--he lacked a maternal role model growing up. It's so pitiful that even the woman he was harassing earlier doesn't have the heart to have him thrown out of the bar.
* ''WebVideo/UltraFastPony:'' Rainbow Dash's mom died giving birth to Dash. As we find out in "The Cheesen One", she had an extremely unhealthy diet, which caused her to have a heart attack during birth.
* A video produced by UNICEF (with music by R.L. Grime) uses this trope to draw attention to the possible consequences of child marriage in Chad (and elsewhere), as many young girls in such situations die in childbirth because their bodies just aren't ready for it. It can be viewed [[https://www.youtube.com/watch?v=sk-n7qOgaL8 here.]]
* WebVideo/TheNostalgiaCritic lampshades this trope in his review of ''WesternAnimation/TheSwanPrincess.''
--> '''Nostalgia Critic:''' ''[as the king, holding newborn Odette up to the people]'' "Here's to the assumption that her mother died in biiiiirth!"

[[folder:Western Animation]]
* In the ''[[WesternAnimation/{{Thundercats 2011}} ThunderCats (2011)]]'' episode "Native Son", a {{flashback}} reveals the Queen of Thundera died giving birth to the crown prince Lion-O. For her toddler son Tygra, who she and her king Claudius adopted after [[LawOfInverseFertility struggling]] to have a child, Lion-O's RoyalBlood ensured he lost both his Mother ''and'' his chance at the throne at the same time.
* ''WesternAnimation/StevenUniverse'' provides a fantastic variant: apparently, Rose Quartz "gave up her physical form" to bring her [[HalfHumanHybrid half-human]] son, Steven, into the world. The exact details of this have not yet been explained, but it has been mentioned that Rose's sacrifice was necessary to pass her gem to her son and that she technically still exists as part of the gem half of his biology.

[[folder:Real Life]]
* Childbirth mortality rates have been somewhere between 'bad' and 'really' bad in most places, at most times. In some cases, the cures suggested by different civilisations' schools of medical thought were actually worse than doing nothing at all. For instance, it was (in some European circles) thought that the best way to assist a difficult birth was to get some people to hold the mother's torso upright and then ''shake her up and down'' to help the baby "fall out".
** This trope is a largely a fitness trade-off of bipedalism; the birth canal does not have as much space. This is why unassisted birth is not nearly as much of an issue for other mammals as it is for humans. (Well, one reason, anyway. The other is that somewhere along the line, humans evolved a "hemochorial placenta"- that is, a placenta that ''directly'' intertwines the mother's blood vessels with those of the fetus. Most other mammals, with a few exceptions (such as mice, a few kinds of bats, and most apes and Old World monkeys) do not have a placenta this aggressive. This is also [[http://pleiotropy.fieldofscience.com/2014/05/how-woman-got-her-period.html the reason for menstruation]], and for many of the complications seen in late pregnancy and childbirth, such as preeclampsia.)
** The Catholic Church has a long tradition of preparing women to accept the very real (only nowadays not so much) possibility of dying in childbirth. The ritual of "churching" was performed for those women that recovered from the experience--a thanksgiving for her survival. There was some debate as to whether it should come before or after the child/children's funeral, if they hadn't been so lucky.
* Before the late 19th Century it was still more dangerous, statistically, for a woman to have children than it was for a man to fight in a war. The two things that changed this were industrialised warfare and the promulgation of the belief that having a clean person, clean possessions, and a clean environment was conducive to one's health--the so called 'Sanitation' movement, which lobbied for such things as sewer systems. Until the latter got going the main cause of death in childbirth was still puerperal fever--that is, a septicemia caused by the bacteria on the midwife or obstetrician's hands. Not that birthing in hospitals--which had well-deserved reputations as death-traps--was common or anything, but it was commonplace for doctors to work with all sorts of patients--including the extremely sick and even the dead, as with dissections--without ever washing their hands. Pre-sanitation hospitals were, however, meticulously nice-smelling--to prevent the miasmal odours which were the root of all illness, dontchaknow, from infecting people.
** Hungarian physician Ignaz Semmelweiss was the first to make the connection between clean hands and decreased risk of the puerperal fever, introducing a strict sanitation regime in his clinic with the use of soaps and antiseptics on pretty much everything. Unfortunately, he was basically [[CassandraTruth laughed out of profession by other physicians]], because ''of course'' nothing bad could have come from that rotting corpse the doc was dissecting before going to deliver a baby--it hardly smelled rotten at all, not that you could tell with all the incense! It wasn't until Joseph Lister that medics started to take antiseptics seriously.
*** It gets worse. One of the main reasons Semmelweiss' groundbreaking research was ignored was that doctors at the time would have been primarily upper-middle-class, and according to the contemporary school of thought, 'a gentleman's hands were always clean'. Meaning that thousands of women continued to die horribly, even when medical science had proved proper sanitation would save ''most'' of them, because a group of rich, educated men considered their lives less important than a perceived slight on their honour.
*** Arguably, Florence Nightingale's contribution was even more important--not because she was a good nurse, but because she realised and was willing to admit she hadn't been. In her grief at the death her work caused, she convinced the world (via charts and figures) that it was better for a wounded Crimean soldier to be left in a ditch than to be taken to a hospital--and that to change this, doctors and especially nurses needed to wash between patients.
* According to popular folklore, the only Spartans with their names on their tombstones were those who died doing their greatest duty; men who died in battle and women who died in childbirth.
** Similar with the Aztecs: Women who died in childbirth were considered heroines the same way as men who either died in battle or were sacrificed to the gods. The tombstone of one of them would become a shrine, and if the baby died as well, the dead mom's hands would be cut off and placed next to the baby's corpse as if they were holding him/her.
** And again similar with the Vikings--historians believe that death in childbirth for the Vikings was equivalent to death in battle, and guaranteed entry into Valhalla.
** In ancient Greece, marriage for women (or, really, girls) was often portrayed as a form of death, because chances were that she would die in childbirth before too long. This association is thought to lie at the heart of the myth of the abduction of Persephone by Hades.
** Islamic tradition also counts a woman who dies in childbirth (or during the 40-day postpartum phase) as a martyr.
* [[http://en.wikipedia.org/wiki/Raymond_Nonnatus Saint Raymond Nonnatus's]] myth says that the "Nonnatus" name was given to him since his mother died in childbirth and baby Raymond had to be pulled out through a C-section. Raymond is the patron saint of pregnant women, midwives, babies and anything related to childbirth: the biggest local church/parish of the Mercedarian Order in at least one place has an altar dedicated to him alone, covered in offers and written prayers from pregnant women who ask him for protection, as well as many photos of newborns and toddlers whose families prayed to Raymond to make sure they'd be born safely.
* For many species of plants and insects, death by childbirth is considered natural. Some animals and a vast majority of plants subscribe to the so-called "Semelparous"[[note]]the word derives from Semele, the mother of Dionysus, who was incinerated in the birthing process[[/note]] strategy of reproduction, devoting all of its resources to one massive cycle of reproduction, which would so drain the mother that it would quickly die of starvation afterwards (this is opposed to the iteroparous strategy, where the mother would live to reproduce another day). The mother (and/or father) may be ''designed'' to die after reproduction, either to provide their own body as food for the young or so as not to take up the children's food.
** The young of the sea louse ''eat their mother alive from the inside out''.
** Octopodes. Contrary to popular belief, they do not die of starvation, but from accelerated aging triggered by their optic "suicide glands" after mating. See also DeathBySex.
* A similar version is an animal (for example, [[http://en.wikipedia.org/wiki/Tarantula_hawk the tarantula hawk]]) who lays their eggs into a victim. Once the eggs hatch, they eat their host from the inside out, usually always while the victim is alive.
* It's often thought that Julius Caesar was born by Caesarian section and therefore that his mother had died in childbirth (since Caesarians were 100% fatal to the mother at that date). Unfortunately for people who like to believe in UrbanLegends, Aurelia Cotta survived her son's birth for many years.
* The "natural" level of maternal mortality in humans is 1 in 100 births. In sub-Saharan Africa, ''1 in 16 women'' are said to die in childbirth, compared to 1 in 2,800 in the developed world. Keep in mind, though, that these numbers may be wildly optimistic; in many African countries the poorest citizens, the ones most likely to die of such things as post-partum infections, live and die uncounted and unregistered.
* In 17th century England childbirth was (outside of the plague years) the most common cause of death in women. One historian estimated that ''one in four'' London women died of pregnancy or childbirth-related matters. This long before the "medicalization" of childbirth.
* Notable women who died in childbirth include: Julia Caesaris (Julius Caesar's daughter), Joan of England (Henry II of England's daughter), Margaret of Scotland (mother of Margaret, Maid of Norway), Isabella of Mar (Robert the Bruce's first wife), Marjorie Bruce (Robert the Bruce's daughter), Joanna of Bourbon, Mary de Bohun, Jadwiga of Poland, Elizabeth of York, Lucrezia Borgia, Jane Seymour, Isabella of Portugal, Katherine Parr, Elisabeth and Claude of France (daughters of Henry II of France), Gabrielle d'Estrées (mistress of Henri IV of France), Mumtaz Mahal (wife of Shah Jahan, and the Taj Mahal was built in her honour), Margaret Theresa of Spain (the IllGirl princess depicted in Velázquez's "Las Meninas"), mathematician Émilie du Châtelet, feminist Mary Wollstonecraft, Charlotte of Wales, cookbook writer Isabella Beeton, Alice Hathaway Lee Roosevelt (first wife of Teddy), writer and feminist Jean Webster, musician Nadine Shamir, and Mexican actress Marla Hiromi Hayakawa.
** While she wasn't apparently blamed for it, Mary Wollstonecraft's daughter, also named Mary, arguably had issues... seeing as she grew up to become Mary Shelley and write Literature/{{Frankenstein}}, and according to a story, she wanted to, uh, [[UnusualEuphemism get to know]] Percy Bysshe Shelley (her future husband) better when they met... over her mother's grave.
** Narrowly averted by Margaret Beaufort, the mother of Henry VII. And when we say narrowly... she was twelve years old, the youngest age at which a husband was allowed to have sex with his wife by English law of the time, and small and slight for her age, she had a horrifically difficult labour which no doubt caused permanent damage, and she though she lived a fairly long life with a further two marriages, she never bore another child.
* This trope was, unlikely as it may sound, a key factor in the ultimate conquest of Wales by the English. Llewelyn ap Gruffyd, the last native Prince of Wales, was allowed to wed Eleanor de Montfort, to whom he was [[PerfectlyArrangedMarriage betrothed]], in exchange for some concessions to her cousin, King Edward I. One of the concessions was that he cease resisting the English rule, and essentially act as Edward's governor in Wales. Llewelyn agreed out of love for Eleanor. Unfortunately, she died giving birth to their only child, [[http://en.wikipedia.org/wiki/Gwenllian_of_Wales Princess Gwenllian]], and poor Llewelyn kind of lost it. His younger brother Dafydd took advantage of his overwhelming grief to persuade Llewelyn to stage one last, dangerous campaign against the English, which they very much lost. Llewelyn was killed in the skirmish; Dafydd was captured and taken to London, where he had the dubious distinction of being the first person in recorded history to be hung, drawn and quartered; and the infant princess was kidnapped, taken to England, and raised in a convent to become a nun.
* It happened to [[http://bulbanews.bulbagarden.net/wiki/Dan_Green_loses_wife_to_childbirth Michal Friedman]], NA voice actress and the wife of Creator/DanGreen.
* [[http://www.rememberthemothers.net/home.html The Safe Motherhood Quilt Project]] was created to honor the memory of women who died from childbirth-related causes, as well as raise awareness, since maternal death tends to go unreported in the United States.
** Maternal deaths tend to go unreported in most countries; the statistics given above are likely wildly ''overoptimistic''.
** In the developed world, there are still very serious pregnancy complications that can prove fatal, especially for a mother who has not had access to prenatal care or is in poor overall health: [[http://journals.lww.com/greenjournal/Abstract/1988/07000/Maternal_Mortality_in_the_United_States__Report.20.aspx ectopic pregnancies, eclampsia, embolism, anesthesia complications, sepsis caused by stillbirth or unsafe abortion, and hemorrhage]], to name a few. Middle-class women with health insurance and no major pre-existing conditions are extremely unlikely to die suddenly in childbirth... those who are not so lucky are at higher risk.
* According to the book "British Children's Fiction In The Second World War", Katharine Tozer, the author of the Mumfie book series that is well known for inspiring the puppet show ''PuppetShows/HereComesMumfie'' and ''WesternAnimation/TheMagicAdventuresOfMumfie'', died this way.
* This trope is why many large-headed dog breeds, particularly bulldogs, are routinely delivered via veterinary Caesarian section. Generations of breeders' preferences for large heads and narrow hips have made it impossible to fit a newborn pup's head through the birth canal.
** Also a common problem when a small-breed bitch is impregnated by a large-breed dog.
* Some female mammals, such as guinea pigs or ferrets, ''have'' to be bred quite early in life if they're to become mothers at all. Otherwise, their pelvises fuse with a too-narrow outlet, making the birthing process extremely dangerous for them.
* Nadine Renee, singer of the OneHitWonder electro group Planet Soul, died from this in 2004.
* An enforced trope in all countries whose anti-abortion laws don't make exceptions even if the life of the woman is in danger.
* Sawfish babies' rostral spikes are covered with a dense gelatinous secretion prior to birth, to prevent their spines from cutting into the mother's uterine wall. If a pregnant female's labor is delayed due to sickness or obstruction, she can bleed out when her offsprings' spike-covered snouts lose their coverings while still ''in utero''.
* There is a condition called [[https://en.wikipedia.org/wiki/Obstetric_fistula obstetric fistula]], which results from prolonged labor in situations where a Caesarean section is unavailable. The baby's head presses on blood vessels, constricting them, resulting in the necrosis of surrounding tissue. (The result is the uncontrollable leakage of urine and/or feces through the vagina.) It almost always results in death for the baby, and it ''can'' result in death to the mother, either right then and there, or sometimes many months or years down the line, as a result of infections or even paralysis, as well as the marginalization that tends to happen as a result of the smell. It is most prevalent in developing countries, where prenatal and emergency obstetric care is limited, and where women tend to be [[ArrangedMarriage married off]] (and become pregnant) at an early age (before their pelvises and cervixes are fully developed) and/or have many closely-spaced pregnancies. It ''can'' happen in developed countries as well, though it's much rarer.
* The genitalia of the female spotted hyena is unique. Their clitoris is 7 inches long and appears as a pseudopenis, and they give birth through a one-inch slit that incidentally has a bend in it and they also urinate through it. The mother has a wide plethora of complications that can kill her, including cubs getting stuck or resulting in her bleeding to death from tearing, especially in first litters - if the journey out doesn't suffocate the cub on top of everything else. And you thought humans were ill-suited for childbirth.
* This combined with historically high infant mortality rates may be a good reason why Kings were traditionally favored to rule than Queens throughout history. The point of creating a dynasty in the first place is to have a successor, so that one's court and key supporters don't go ahead and nominate their own successor (and possibly try to go ahead and put him on the throne at the first sign of the incumbent king's failing health). If the king dies without a successor, and his key supporters have no plan in place to replace him, one can expect a bloody power struggle to ensue that could tear the country apart and leave it vulnerable to foreign invasion. It simply would not do if your female monarch were to die during childbirth, likely taking her newborn heir with her and leaving the kingdom with no leadership at all. With a man on the throne, however, he just has to keep impregnating queens until one survives long enough to give him a healthy heir.
* This is an ever-increasing concern in the developed world, as more and more bacteria become resistant to more and more antibiotics, such as ones that are given shortly before, during, or after childbirth to prevent infections. This may also make ''any'' surgery, including C-sections (which ''do'' save the lives of women who might otherwise die in childbirth) increasingly risky, or even impossible. We very well could see a return to Victorian-era rates of maternal and infant mortality ''in our lifetimes'' if the issue of antibiotic resistance is not addressed ''soon''.