@sampleswift just started reading this and saw your note American Dream vs American Reality, it made me sit up straight. There was an interview of Van Jones by Infowars (they caught him walking outside) and he was charismatic enough not to fall for their stupid questions and take control of the...
It has to do with Culture. From what I can see after the Golden Age of Islam, and even before Abdul Wahab the arabs of the peninsula had a swing to extremism again. Literacy and Numbers were ignored, some idiot cleric said numbers were the work of the devil and the people shied away from...
Actually even in first world countries there are high risk deliveries. Here is a list of them in the source listed below.
Source: https://www.npr.org/2018/07/29/632702896/to-keep-women-from-dying-in-childbirth-look-to-california