Table 2 WHO criteria for maternal near miss⁵

CLINICAL CRITERIA

Acute cyanosis

Gasping

Breathing rate > 40 or < 6 per minute

Shock

Oliguria unresponsive to fluids or diuretics

Coagulation disorders/clotting failure

Loss of consciousness for ≥ 12 h

Unconscious, no pulse/heartbeat

Cerebrovascular accident

Uncontrolled convulsions/total paralysis

Jaundice concomitantly with preeclampsia

LABORATORY CRITERIA

Oxygen saturation < 90% for > 60 minutes

PaO2/FiO2 < 200 mmHg

Creatinine ≥ 300 mmol/l or ≥ 3,5 mg/dL

Bilirubin > 100 mmol/l or ≥ 6,0 mg/dL

pH < 7,1

Lactate > 5

Acute thrombocytopenia (< 50 000 platelets)

Unconscious, presence of glucose and ketoacidosis in urine

MANAGEMENT CRITERIA

Use of continuous vasoactive drug

Postpartum or post abortion hysterectomy due to infection or hemorrhage

Blood transfusion ≥ 5 units of red cell

Intubation and ventilation for a period ≥ 60 minutes, unrelated to anesthesia

Dialysis for treatment of acute renal failure

Cardiopulmonary resuscitation (CPR)