Or the boon from not having one of the highest infant mortality rates in the developed world.
https://www.propublica.org/article/lost-mothers-maternal-hea...
Other possible factors could be a lack of prenatal care or (and this is separate) births outside of a hospital / medical setting.
"...very low-birth-weight infants who are at high risk of dying within the first day tend to be counted as live births. In countries where the health care system does not place the same emphasis on neonatal intensive care, the outcomes of such pregnancies are not likely to be recorded as live births. Hence, it appears that the more resources a country's health care system places on saving high-risk newborns, the more likely its registration will report a higher IMR" [0]