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Table 3 Maternal direct obstetrics deaths by Regiona. 1990–2017. Estimated based on the Institute for Health Metrics and Evaluation. Maternal Health Atlas. Trends 1990–2017.(1)

From: Maternal mortality reduction: a need to focus actions on the prevention of hypertensive disorders of pregnancy

Cause of the death Number of deaths Percentual decrease Contribution to maternal direct obstetrics deaths (%)
1990 2017 1990 2017
East Asia & Pacific (n = 28)
 Maternal Haemorrhage 34,104 4,525 86.7 64.4 27.6
 Sepsis and other maternal infections 3,505 1,249 64.4 6.6 7.6
 Hypertensive disorders 4,657 3,314 28.8 8.8 20.2
 Total number of maternal direct obstetrics deaths 52,940 16,400 69.0 - -
Europe & Central Asia (n = 49)
 Maternal Haemorrhage 1,401 219 84.4 27.8 15.1
 Sepsis and other maternal infections 800 131 83.6 15.9 9.1
 Hypertensive disorders 625 178 71.5 12.4 12.3
 Total number of maternal direct obstetrics deaths 5,033 1,447 71.2 - -
Latin America & Caribbean (n = 32)
 Maternal Haemorrhage 4,372 1,646 62.4 35.3 20.2
 Sepsis and other maternal infections 1,690 887 47.5 13.6 10.9
 Hypertensive disorders 2,248 1,611 28.3 18.1 19.8
 Total number of maternal direct obstetrics deaths 12,396 8,155 34.2 - -
Middle East & North Africa (n = 20)
 Maternal Haemorrhage 5,467 1,416 74.1 45.1 23.5
 Sepsis and other maternal infections 2,037 873 57.1 16.8 14.5
 Hypertensive disorders 857 693 19.1 7.1 11.5
 Total number of maternal direct obstetrics deaths 12,118 6,027 50.3 - -
North America (n = 2)
 Maternal Haemorrhage 61 64 -4.9 10.0 5.3
 Sepsis and other maternal infections 40 71 -77.5 6.5 5.9
 Hypertensive disorders 70 120 -71.4 11.5 10.0
 Total number of maternal direct obstetrics deaths 611 1,202 -96.7 - -
South Asia (n = 8)
 Maternal Haemorrhage 47,426 9,129 80.8 31.0 13.4
 Sepsis and other maternal infections 18,663 5,854 68.6 12.2 8.6
 Hypertensive disorders 19,597 13,242 32.4 12.8 19.4
 Total number of maternal direct obstetrics deaths 153,143 68,091 55.5 - -
Sub-Saharan Africa (n = 47)
 Maternal Haemorrhage 35,160 20,864 40.7 38.9 22.4
 Sepsis and other maternal infections 12,338 12,952 -5.0 13.6 13.9
 Hypertensive disorders 8,294 10,531 -27.0 9.2 11.3
 Total number of maternal direct obstetrics deaths 90,397 92,982 -2.9 - -
  1. aDirect obstetric deaths (or direct maternal deaths) are those “resulting from obstetric complications of the pregnant state (pregnancy, labour and puerperium), and from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above