Stresses with deep concern that early pregnancy, early childbearing and limited access to quality, comprehensive, integrated and accessible sexual and reproductive health-care services, including in the area of skilled birth attendance, emergency obstetric care and the management of complications arising from abortion, causes high levels of maternal mortality and morbidity, including a high prevalence of obstetric fistula, and furthermore entails complications during pregnancy and childbirth, which often lead to death, particularly for young women and girls;