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Table 3 Suggested parameters and respective decisions in round 2 and round 3

From: Adaptation of the WHO maternal near miss tool for use in sub–Saharan Africa: an International Delphi study

Parameter

Round 2

n(% agree)

Round 3

n(% agree)

Final Decision

1. Severe abortion complications

36(78·3)

Accepted

2. Failed tracheal intubation requiring anaesthetic reversal

17(37·0)

Rejected

3. Maternal indication to terminate pregnancy

13(28·3)

Rejected

4. Kussmaul respiration

18(39·1)

Rejected

5. Severe dehydration

14(30·4)

Rejected

6. Confusion

18(39·1)

Rejected

7. Ketotic breath

17(37·0)

Rejected

8. Acute kidney injury

22(47·8)

Rejected

9. Uterine tamponade

20(43·5)

Rejected

10. Ligation of internal iliac vessels

22(47·8)

Rejected

11. Severe hypotension (systolic BP <90 mmHg lasting >60 min)

28(60·9)

21(44·7)

Rejected

12. Pre-eclampsia with the presence of oliguria or respiratory disorder

32(69·6)

30(63·8)

Rejected

13. Severe PPH (loss of more than 1000 ml of blood) within 24 h of delivery

29(63·0)

31(66.0)

Rejected

14. Severe pre-eclampsia with intensive care unit admission

33(71·7)

Accepted

  1. Note: these parameters were suggested in round 1; so rating was done in round 2 and 3 only. BP blood pressure, PPH postpartum haemorrhage