BioMed Research International / 2014 / Article / Tab 1

Research Article

Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study

Table 1

The WHO set of severity markers (life-threatening conditions) used in maternal near miss assessments.

Group AGroup B

Cardiovascular dysfunctionShockpH < 7.1
Lactate > 5Use of continuous vasoactive drugs
Cardiac arrest
Cardiopulmonary resuscitation (CPR)

Respiratory dysfunctionAcute cyanosisGasping
Respiratory rate >40 or <6/minPaO2/FiO2 < 200 mmHg
Oxygen saturation <90% for ≥60 minutesIntubation and ventilation not related to anesthesia

Renal dysfunctionOliguria nonresponsive to fluids or diureticsCreatinine ≥300 mmol/L or ≥3.5 mg/dL
Dialysis for acute renal failure

Coagulation/hematological dysfunctionClotting failureAcute thrombocytopenia (<50 000 platelets)
Transfusion of ≥5 units of blood/red cells

Hepatic dysfunctionJaundice in the presence of preeclampsiaBilirubin >100 mmol/L or >6.0 mg/dL

Neurological dysfunctionMetabolic coma (loss of consciousness AND
the presence of glucose and keto acids in urine)
Coma/loss of consciousness lasting 12 hours or more
Status epilepticus/uncontrollable fits/total paralysis

Uterine dysfunctionHysterectomy due to infection or hemorrhage

Source: reference [18].