Siamoy feeds her one-month old baby in Badakshan, where a harsh landscape and lack of infrastructure have given rise to an astonishingly high rate of deaths during childbirth.

The Perils of Childbirth in Afghanistan

Photographer Alixandra Fazzina visits remote Badakhshan, home to the highest maternal mortality rate in the world

Get the Latest Photos from
Get TIME photos and pictures of the week delivered directly to your inbox.