halenges to reduce maternal mortality in São Paulo City

Abstract

Since 1993 the causes of maternal mortality has been studied by The Maternal Mortality Committee of the municipality of São Paulo. By the year 2016 the city accumulates 3505 maternal deaths, and 2389 are due to direct or indirect causes. The main cause of maternal mortality is high blood pressure, with 538 (22.5%) deaths, followed by bleeding complications of third quarter and puerperium with 330 (13.8%) instances. The other three main causes for maternal death are cardiovascular diseases, miscarriage (including unsafe abortions) and puerperal infection. The Maternal Mortality Committee of the municipality of São Paulo makes considerations about the five leading causes of maternal death and are offer suggestions to reduce these events. The other causes, with fewer, but no less important, are not object of this study.