WHO maternal near miss criteria | sub-Saharan Africa maternal near miss criteria |
---|---|
Clinical criteria | |
Acute cyanosis | Acute cyanosis a |
Gasping | Gasping b |
Respiratory rate > 40 or <6/min | Respiratory rate > 40 or <6/min |
Shock | Shock c |
Oliguria non responsive to fluids or diuretics | Oliguria non responsive to fluids or diuretics d |
Failure to form clots | Failure to form clots e |
Loss of consciousness lasting more than 12 h | Loss of consciousness lasting more than 12 h f |
Cardiac arrest | Cardiac arrest |
Stroke | Stroke g |
Uncontrollable fit/total paralysis | Uncontrollable fit/total paralysis h |
Jaundice in the presence of pre-eclampsia | Jaundice in the presence of pre-eclampsia i |
Eclampsia j | |
Uterine rupture k | |
Sepsis or severe systemic infection l | |
Pulmonary edema m | |
Severe abortion complications n | |
Severe malaria o | |
Severe pre-eclampsia with ICU admission | |
Laboratory based criteria | |
Oxygen saturation < 90% for > 60 min | Oxygen saturation < 90% for > 60 min |
PaO2/FiO2 < 200 mmHg | |
Creatinine ≥ 300 μmol/l or ≥ 3.5 mg/dl | Creatinine ≥ 300 μmol/l or ≥ 3.5 mg/dL |
Bilirubin > 100 μmol/l or > 6.0 mg/dl | |
pH <7.1 | |
Lactate > 5 mEq/ml | |
Acute thrombocytopenia (<50,000 platelets/ml) | Acute thrombocytopenia (<50,000 platelets/ml) |
Loss of consciousness and ketoacids in urine | Loss of consciousness and ketoacids in urine |
Management based criteria | |
Use of continuous vasoactive drugs | |
Hysterectomy following infection or haemorrhage | Hysterectomy following infection or haemorrhage |
Transfusion of ≥ 5 units of blood | Transfusion of ≥ 2 units of red blood cells |
Intubation and ventilation for ≥ 60 min not related to anaesthesia | Intubation and ventilation for ≥ 60 min not related to anaesthesia |
Dialysis for acute renal failure | |
Cardio-pulmonary resuscitation | Cardio-pulmonary resuscitation |
Laparotomy other than caesarean section |