Criteria | Components |
---|---|
Severe maternal complications | Severe postpartum Hemorrhage |
Severe preeclampsia | |
Eclampsia | |
Sepsis or severe systemic infection | |
Ruptured Uterus | |
Obstructed labour | |
Severe complications of abortion | |
Critical interventions or intensive care unit | Admission into intensive care unit |
Interventional radiology | |
Laparotomy for severe obstetrics conditions | |
Use of blood products (fresh frozen plasma etc.). | |
Life-threatening conditions (near-miss criteria) | Cardiovascular dysfunction{Shock |
cardiac arrest (absence of pulse/heart beat and loss of consciousness), | |
Use of continuous vasoactive drugs | |
cardiopulmonary resuscitation, | |
severe hypoperfusion (lactate >5 mmol/l or >45 mg/dl), severe acidosis (pH <7.1) | |
Respiratory dysfunction | Acute cyanosis, gasping |
severe tachypnea (respiratory rate > 40 breaths per minute), | |
severe bradypnea (respiratory rate < 6 breaths per minute) | |
intubation and ventilation not related to anesthesia, | |
severe hypoxemia (O2 saturation < 90% for ≥60 min or PAO2/FiO2 < 200) | |
Renal dysfunction | Oliguria non-responsive to fluids or diuretics, dialysis for acute renal failure, |
severe acute azotemia (creatinine ≥300 μmol/ml or ≥3.5 mg/dl) | |
Coagulation/hematological dysfunction | Failure to form clots, massive transfusion of blood or red cells (≥5 units), |
severe acute thrombocytopenia (<50,000 platelets/ml) | |
Hepatic dysfunction | –– Jaundice in the presence of pre-eclampsia, |
severe acute hyperbilirubinemia (bilirubin >100 μmol/l or >6.0 mg/dl) | |
Neurological dysfunction | Prolonged unconsciousness (lasting ≥12 h)/coma (including metabolic coma), stroke, uncontrollable fits/status epilepticus, total paralysis. |
Uterine dysfunction | Uterine hemorrhage or infection leading to hysterectomy. |