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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