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

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%)