Introduction and Methodology - This article examines differences in sociodemographic status, prenatal care, and pregnancy outcomes by the mother’s nationality among women who gave birth in metropolitan France in 2010. In addition, it presents the most recent data on maternal deaths and their causes for the period 2003–2007, and on the characteristics of deceased women for the period 1998–2007. Results - Foreign women as a whole, and particularly women from sub-Saharan Africa, represent a population at perinatal risk: older women, higher parity, lower educational attainment, and less frequent income from employment. However, tobacco use is less common than among French women. Women from North Africa exhibit certain perinatal risk factors but do not have higher rates of stillbirth, preterm birth, or low birth weight. In contrast, women from sub-Saharan Africa have a high cesarean section rate and higher risks of stillbirth, preterm birth, and low birth weight compared to French women. The maternal mortality rate for foreign women, considered as a whole, is 12.5 per 100,000 live births versus 7.9 for French women. Disparities still exist among foreign nationalities themselves. The rate for foreign women other than those from Europe or the Maghreb is 2 to 3 times higher than that of French women. Conclusion - These results highlight the need for prevention and care for certain groups of foreign women, particularly women from sub-Saharan Africa, who are quite numerous in France. (R.A.)