Answer based on context:

The 2010 maternal mortality rate per 100,000 births for Guinea Bissau was 1000. This compares with 804.3 in 2008 and 966 in 1990. The under-5 mortality rate, per 1,000 births, was 195 and the neonatal mortality as a percentage of under-5 mortality was 24. The number of midwives per 1,000 live births was 3; one out of eighteen pregnant women die as a result of pregnancy. According to a 2013 UNICEF report, 50% of women in Guinea Bissau had undergone female genital mutilation. In 2010, Guinea Bissau had the seventh-highest maternal mortality rate in the world.

How many more deaths per 100,000 births in Guinea Bissau were there is 1990 compared to 2008?
161.7