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This research analyzes the potential influence that the decriminalization of abortion in case of rape may have on the reduction of maternal mortality, by virtue of the current legislation that regulates it and the public policies of the public institutions involved in this process. The general objective is to analyze critically and legally the decriminalization of abortion in case of rape in the Ecuadorian Criminal Law, in order to determine its impact on the reduction of the maternal mortality rate and the protection of the right to sexual health and health. Chapter I conceptualizes abortion and rape, as well as the constitutional rights of girls, adolescents and women. Subsequently, Chapter II analyzes sentence No.34-19-IN/21 and accumulated, and the Organic Law that Regulates the voluntary interruption of pregnancy for girls, adolescents and women in case of rape. Finally, Chapter III analyzes the public policies for the comprehensive care of voluntary interruption of pregnancy in case of rape and to reduce maternal mortality.