title: Overall and abortion-related maternal mortality rates in Uruguay over the past 25years and their association with policies and actions aimed at protecting women's rights.
abstract: OBJECTIVE
  To evaluate changes in maternal mortality rates in Uruguay over the past 25years, as well as their distribution by cause, and their temporal relationship with social changes and Human Development Index (HDI) indicators.
  
  
  METHODS
  Data on maternal mortality obtained directly from the Uruguayan Ministry of Public Health for the 2001 to 2015 period were analyzed together with data from the United Nations Inter-Agency Group for Child Mortality Estimation for the 1990 to 2015 period. The swiftness of the decrease in maternal mortality per five-year period, the variation in the percentage of abortion-related deaths, and the correlation with HDI indicators were evaluated.
  
  
  RESULTS
  Maternal mortality decreased significantly, basically due to a reduction in the number of deaths from unsafe abortion, which was the principal cause of maternal mortality in the 1990s. The reduction in maternal mortality over the past 10years also coincides with a reduction in poverty and an improvement in the HDI.
  
  
  CONCLUSIONS
  A rapid reduction occurred in maternal mortality in Uruguay, particularly in maternal mortality resulting from unsafe abortion. This coincided with the application of a model for reducing the risk and harm of unsafe abortions, which finally led to the decriminalization of abortion.
authors: Obstetrics and Gynecology Clinic A, Pereira Rossell Hospital, School of Medicine, University of the Republic, Montevideo, Uruguay. Electronic address: leobriozzo@hotmail.com.
authors: Leonel
authors: L
authors: Briozzo
authors: Latin American Center of Perinatology (CLAP), Montevideo, Uruguay.
authors: Rodolfo
authors: R
authors: Gómez Ponce de León
authors: Obstetrics and Gynecology Clinic A, Pereira Rossell Hospital, School of Medicine, University of the Republic, Montevideo, Uruguay.
authors: Giselle
authors: G
authors: Tomasso
authors: Department of Obstetrics and Gynecology, State University of Campinas, Campinas, SP, Brazil.
authors: Anibal
authors: A
authors: Faúndes
mesh_terms: D000028:Abortion, Induced / Q000331:legislation & jurisprudence / Q000401:mortality*; D005260:Female; D006291:Health Policy / Q000639:trends*; D006801:Humans; D008137:Longitudinal Studies; D008428:Maternal Mortality / Q000639:trends; D011247:Pregnancy; D014583:Uruguay; D014933:Women's Rights / Q000331:legislation & jurisprudence*
keywords: Abortion laws; Human development; Maternal mortality; Reducing risks; Unsafe abortion; Uruguay; Women’s rights