When a woman dies during pregnancy or postpartum, we immediately think of hemorrhages, infections, thrombosis, or obstetric complications. But the records from countries with better surveillance systems have made an still uncomfortable cause of maternal death visible: suicide.The MBRRACE-UK report, an international reference in the analysis of maternal mortality in the United Kingdom, is conclusive: between six weeks and one year after pregnancy, suicide is the leading cause of maternal death. If we add deaths related to substance use, the scientific message is clear: mental health, addiction, and social vulnerability are today central determinants of survival for many mothers.In Spain, a pioneering study has published data on this reality for the first time: between 2016 and 2023, thirty women were identified who died by suicide during the first postpartum year, after a birth oran advanced gestational loss. The majority of these deaths occurred beyond the first 42 days. The quarantine is an administrative convention; a postpartum depression, a puerperal psychosis, a situation of gender-based violence, poverty, substance abuse, or lack of support do not disappear because a month and a half has passed since the birth.