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Objective:To acertain factors,perceptions of quality healthcare services, and as well respondents knowledge on pregnancy complications regarding maternal deaths in Monrovia,Liberia. Methods:This research was conducted using the cross-sectional study design.We carefully investigated using questionnaires and interviews to collect the information from childbearing mothers at the various health facilities.Now the Simple random sampling technique was used to collect the desire information.from a cross-sectional population. Results:Haemorrhage and sepsis were the leading direct causes of maternal deaths in Monrovia with each accounting for 38.6％ and 27.2％ respectively.The indirect causes of maternal deaths were anemia accounting for 40.7％ as well as malaria accounting for 33.9％. Perceptions about quality of healthcare services, education, distance, and knowledge of pregnancy complications were statistically significant (P=0.05,P<0.05,P<0.05,P=0.05) respectively.Occupation was not statistically significant (P>0.05) indicating it was not a factor of maternal death. Conclusion:Maternal mortality remains to be of grave concerned in Monrovia and the entire country as large.It is believed that active and robust public health measures are important strategies to achieve desire program goals.Skills enhancement programs,improving healthcare services,management,and continuous outreach education campaigns by trained health workers are the key strategies and hallmarks to educating people especially those residing in Monrovia and other parts of the country.