Diagnosis | Near Miss (NM) | |||||
---|---|---|---|---|---|---|
Mortality N = 15(%) | Total N (%) | In hospital n (%) | Referred n (%) | NM/1,000 live births | Mortality index (%) | |
Direct causes: | ||||||
Hypertensive disorders | 2 (13.3) | 468 (51.9) | 16 (25.8) | 452 (53.9) | 17.1 | 1:234 (0.4%) |
â—‹ Severe pre-eclampsia | - | 415 (46.1) | 7 (11.3) | 408 (48.6) | ||
â—‹ Eclampsia | 2 (13.3) | 47 (5.2) | 9 (14.5) | 38 (4.5) | ||
â—‹ HELLP syndrome | - | 6 (0.7) | 0 (0) | 6 (0.7) | ||
Severe Haemorrhage | 9 (60.0) | 310 (34.4) | 32 (51.6) | 278 (33.1) | 11.3 | 1:34 (2.8%) |
Early pregnancy | ||||||
â—‹ Ectopic pregnancy | - | 43 (4.8) | 0 (0) | 43 (5.1) | ||
â—‹ Abortion | - | 14 (1.6) | 0 (0) | 14 (1.7) | ||
â—‹ Hydatidiform mole | - | 9 (1.0) | 0 (0) | 9 (1.1) | ||
Late pregnancy | ||||||
â—‹ Placenta praevia | 2 (13.3) | 75 (8.3) | 4 (6.5) | 71 (8.5) | ||
â—‹ Abruptio placentae | 1 (6.7) | 71 (7.9) | 3 (4.8) | 68 (8.1) | ||
â—‹ Uterus atonia | 6 (40.0) | 83 (9.2) | 21 (33.9) | 62 (7.4) | ||
â—‹ Other PPH | - | 15 (1.7) | 4 (6.5) | 11 (1.3) | ||
Sepsis/infection | 2 (13.3) | 25 (2.8) | 2 (3.2) | 23 (2.7) | 0.9 | 1:12 (7.4%) |
â—‹ Sepsis | 1 (6.7) | 12 (1.3) | 0 (0) | 12 (1.4) | ||
â—‹ Amniotitis | 1 (6.7) | 12 (1.3) | 2 (3.2) | 10 (1.2) | ||
â—‹ Septic abortion | - | 1 (0.1) | 0 (0) | 1 (0.1) | ||
Dystocia | 1 (6.7) | 34 (3.8) | 6 (9.7) | 28 (3.3) | 1.2 | 1:34 (2.9%) |
â—‹ Uterine rupture | 1 (6.7) | 23 (2.6) | 6 (9.7) | 17 (2.0) | ||
â—‹ Impending rupture | - | 11 (1.2) | 0 (0) | 11 (1.3) | ||
Severe anaemia | 0 (0) | 30 (3.3) | 2 (3.2) | 28 (3.3) | 1.1 | N/A |
Indirect causes: | ||||||
Previous medical condition | 1 (6.7) | 34 (3.8) | 4 (6.4) | 30 (3.6) | 1.2 | 1:34 (2.9%) |
â—‹ Cardiac | 1 (6.7) | 15 (1.7) | 3 (4.8) | 12 (1.4) | ||
â—‹ Haematologic | - | 15 (1.7) | 1 (1.6) | 14 (1.7) | ||
â—‹ Others* | - | 4 (0.4) | 0 (0) | 4 (0.5) | ||
Total | 15 (100) | 901 (100) | 62 (100) | 839 (100) | 32.9 | 1:60 (1.7%) |