Table 5 Maternal near miss conditions according to organ system dysfunctions

Clinical criteria

7 (14.9)

 Acute cyanosis^b

0 (0)

 Gasping^b

0 (0)

 Respiratory rate >40 or <6/min^b

1 (2.1)

 Shock (SBP < 90 mmHg for >60/min and PR ≥ 120/min)^a

4 (8.5)

 Oliguria (urine output < 30 ml/h for 4 h or < 400 ml/24 h)^c

0 (0)

 Clotting failure^d

0 (0)

 Loss of consciousness lasting ≥ 12 h^f

0 (0)

 Loss of consciousness and absence of PR/HR^f

1 (2.1)

 Stroke ≥ 24h^f

0 (0)

 Uncontrollable fit^f

0 (0)

 Jaundice in the presence of pre-eclampsia^e

0 (0)

Laboratory-based criteria

19 (40.4)

 Severe hypoxaemia (oxygen saturation < 90 % for ≥ 60 min)^b

1 (2.1)

 Severe hypoxaemia (PaO₂/FiO₂ < 200 mmHg)^b

0 (0)

 Severe acidosis (pH < 7.1)^a

3 (6.4)

 Severe hypoperfusion (lactate > 5 mmol/l)^a

10 (21.3)

 Severe acute azotemia (creatinine ≥ 300 mmol/L or 3.5 mg/dl)^e

0 (0)

 Severe acute thrombocytopenia (< 50,000 platelets)^d

9 (19.1)

 Severe acute hyperbilirubinemia (bilirubin >100 mmol/L or > 6.0 mg/dl)^d

0 (0)

 Loss of consciousness and presence glucose and ketoacids in urine^f

0 (0)

Management-based criteria

40 (85.1)

 Used of continous vasoactive drug^a

7 (14.9)

 Intubation and ventilation ≥ 60 min not related to anesthesia^b

6 (12.8)

 Hysterectomy following infection or hemorrhage^g

19 (40.4)

 Dialysis for acute renal failure^c

0 (0)

 Transfusion of ≥ 5 units red cell^d

29 (61.7)

 Cardio-pulmonary resuscitation^a

2 (4.3)

Organ dysfunction for the above conditions

47 (100.0)

 Cardiovascular dysfunction

16 (34.0)

 Respiratory dysfunction

8 (17.0)

 Renal dysfunction

0 (0)

 Coagulation/hematologic dysfunction

35 (74.5)

 Hepatic dysfunction

1 (2.1)

 Neurologic dysfunction

2 (4.3)

 Uterine dysfunction

19 (40.4)