Obstetric and Neonatal Regulation Center (CRON)
Levers
Organization of work processes and care pathways within the Health System
Grant type
Model development
Beneficiary population
Pregnant women, women in labor, and newborns living in the city of São Paulo
Since 2009, Umane has maintained the Obstetric and Neonatal Regulation Center (CRON), whose goal is to contribute to the reduction of maternal and neonatal mortality indicators and to ensure adequate and rapid medical care for women and newborns requiring additional care in the municipality of São Paulo and its metropolitan area.
With a team operating 24 hours a day, every day, the Center actively works on searching for, referring, and tracking pregnant women, laboring mothers, and babies who experience complications and need admission to Intensive Care Units (ICUs) or surgery. Since 2016, a partnership has been established with the Municipal Health Secretariat of São Paulo to strengthen the management of CRON. In 2025, the management of the center was transferred to the Instituto de Responsabilidade Social Sírio-Libanês (IRSSL).
Operating in the regulation of neonatal ICUs, neonatal pediatric surgery, neonatal neurosurgery, and congenital cardiovascular surgery, CRON’s work proved effective for another year, helping to promptly address obstetric and neonatal complications and, consequently, reduce maternal and infant mortality rates.
The center received more than 12,000 requests in 2025 and achieved a resolution rate of 91.1%.
Reduction in the incidence of obstetric and neonatal complications and, consequently, a decrease in maternal and neonatal mortality
requests received from 2016 to 2025
requests resolved
was the request resolution rate
was the reduction in the maternal mortality rate during the pandemic, in 2021