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Table 1 World health organization maternal near miss criteria [3]

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)