| A. Criteria for potentially life-threatening conditions |
| Haemorrhagic disordersHypertensive disorders |
| Abruptio placentae Severe preeclampsia |
| Accreta/increta/percreta placentaEclampsia |
| Ectopic pregnancy Severe hypertension |
| Postpartum Haemorrhage Hypertensive encephalopathy |
| Ruptured uterus HELLP syndrome |
| Other systemic disordersSevere Management Indicators |
| Endometritis Blood transfusion |
| Pulmonary oedema Central venous access |
| Respiratory failure Hysterectomy |
| SeizuresICU admission |
| Sepsis Prolonged hospital stay (>7 postpartum days) |
| Shock Non-anaesthetic Intubation |
| Thrombocytopenia <100.000Return to operating room |
| Thyroid crisis Surgical intervention |
| B. Criteria for maternal near miss criteria |
| Clinical criteria |
| Acute cyanosis Loss of consciousness lasting ≥12 hours |
| Gasping Loss of consciousness AND absence of pulse/heart beat |
| Respiratory rate > 40 or <6/min Stroke |
| Shock Uncontrollable fit/total paralysis |
| Oliguria non-responsive to fluids or diuretics Jaundice in the presence of pre-eclampsia |
| Clotting failure |
| Laboratory-based criteria |
| Oxygen saturation < 90% for ≥60 minutes pH < 7.1 |
| PaO2/FiO2 < 200 mmHg Lactate > 5 |
| Creatinine ≥ 300 mmol/l or ≥ 3.5 mg/dl Acute thrombocytopenia (<50,000 platelets) |
| Bilirubin > 100 mmol/l or >6.0 mg/dl Loss of consciousness AND the presence of glucose and ketoacidosis in urine |
| Management-based criteria |
| Use of continuous vasoactive drugs Intubation and ventilation for ≥60 minutes not related to anaesthesia |
| Hysterectomy following infection/haemorrhage Dialysis for acute renal failure |
| Transfusion of ≥5 units red cell transfusionCardio-pulmonary resuscitation (CPR) |
