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Table 2 Classification of complications using maternal death and near miss morbidity upon and after arrival at Damascus Maternity University Hospital, Syria

From: Obstetric near-miss and maternal mortality in maternity university hospital, Damascus, Syria: a retrospective study

Diagnosis   Near Miss (NM)   
  Mortality N = 15(%) Total N (%) In hospital n (%) Referred n (%) NM/1,000 live births Mortality index (%)
Direct causes:       
Hypertensive disorders 2 (13.3) 468 (51.9) 16 (25.8) 452 (53.9) 17.1 1:234 (0.4%)
Severe pre-eclampsia - 415 (46.1) 7 (11.3) 408 (48.6)   
Eclampsia 2 (13.3) 47 (5.2) 9 (14.5) 38 (4.5)   
HELLP syndrome - 6 (0.7) 0 (0) 6 (0.7)   
Severe Haemorrhage 9 (60.0) 310 (34.4) 32 (51.6) 278 (33.1) 11.3 1:34 (2.8%)
Early pregnancy       
Ectopic pregnancy - 43 (4.8) 0 (0) 43 (5.1)   
Abortion - 14 (1.6) 0 (0) 14 (1.7)   
Hydatidiform mole - 9 (1.0) 0 (0) 9 (1.1)   
Late pregnancy       
Placenta praevia 2 (13.3) 75 (8.3) 4 (6.5) 71 (8.5)   
Abruptio placentae 1 (6.7) 71 (7.9) 3 (4.8) 68 (8.1)   
Uterus atonia 6 (40.0) 83 (9.2) 21 (33.9) 62 (7.4)   
Other PPH - 15 (1.7) 4 (6.5) 11 (1.3)   
Sepsis/infection 2 (13.3) 25 (2.8) 2 (3.2) 23 (2.7) 0.9 1:12 (7.4%)
Sepsis 1 (6.7) 12 (1.3) 0 (0) 12 (1.4)   
Amniotitis 1 (6.7) 12 (1.3) 2 (3.2) 10 (1.2)   
Septic abortion - 1 (0.1) 0 (0) 1 (0.1)   
Dystocia 1 (6.7) 34 (3.8) 6 (9.7) 28 (3.3) 1.2 1:34 (2.9%)
Uterine rupture 1 (6.7) 23 (2.6) 6 (9.7) 17 (2.0)   
Impending rupture - 11 (1.2) 0 (0) 11 (1.3)   
Severe anaemia 0 (0) 30 (3.3) 2 (3.2) 28 (3.3) 1.1 N/A
Indirect causes:       
Previous medical condition 1 (6.7) 34 (3.8) 4 (6.4) 30 (3.6) 1.2 1:34 (2.9%)
Cardiac 1 (6.7) 15 (1.7) 3 (4.8) 12 (1.4)   
Haematologic - 15 (1.7) 1 (1.6) 14 (1.7)   
Others* - 4 (0.4) 0 (0) 4 (0.5)   
Total 15 (100) 901 (100) 62 (100) 839 (100) 32.9 1:60 (1.7%)
  1. *Epilepsy (n = 2), SLE (n = 2):