The objective of this study is to determine factors that are directly and indirectly associated with maternal death. This is a quantitative study with a retrospective approach carried out on an exhaustive sample of 26 cases of death recorded at the General Referral Hospital of the Rural Health Zone of Bunia from January 2023 to July 2024 by the cross-sectional method supported by the documentary analysis of Antenatal records, partograms and maternal death review records. After analysis, it was observed that 23.1% of maternal deaths are linked to postpartum hemorrhage whose associated factors are direct and 57.7% of maternal deaths have unknown indirect associated factors. Based on these results, it is observed that maternal death remains a problem in the rural health zone of Bunia, despite the multiple steps and actions taken to avoid or reduce it, we wish that the government, not only supports the General Referral Hospital of Bunia in its fight against maternal death by strengthening the health providers’ capacity in the care of women but also, that women put into practice all the orientations offered to them during antenatal consultations.