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Table 2 WHO criteria for maternal near miss5

From: From planning to practice: building the national network for the surveillance of severe maternal morbidity

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)