From: Applicability of the WHO maternal near miss tool in sub-Saharan Africa: a systematic review
Clinical criteria | |
 Acute cyanosis | Loss of consciousness lasting > 12 h |
 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 min | 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 ketoacids in urine |
Management-based criteria | |
 Use of continuous vasoactive drugs | Intubation and ventilation for > 60 min not related to anesthesia |
 Hysterectomy following infection or hemorrhage | Dialysis for acute renal failure |
 Transfusion of u5 units red cell transfusion | Cardio-pulmonary resuscitation (CPR) |