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Table 1 Operational definitions of obstetric complication and near misses by type of pregnancy outcome

From: Risk factors for reported obstetric complications and near misses in rural northwest Bangladesh: analysis from a prospective cohort study

Category Obstetric complication Near miss
Live Births or stillbirths - Complications during delivery
Postpartum hemorrhage Report of profuse bleeding OR Retained placenta Report of nearly dying + Profuse bleeding
Sensitivity: 63-84%, Specificity: 89-97%
Eclampsia Convulsions (excluding epilepsy) and NO high fever Report of nearly dying + Convulsions (excluding epilepsy) and NO high fever
Sensitivity: 73-99%, Specificity: 86-99%
Sepsis High fever + foul-smelling vaginal discharge OR high fever + lower abdominal pain Report of nearly dying + High fever
Sensitivity: 69-74%, Specificity: 95-98%
Obstructed Labor (Report of baby stuck + use of saline drip with injection) OR (report of baby stuck + injection only) OR labor pains >24 hours Report of nearly dying + (Report of baby stuck + use of saline drip with injection) OR (report of baby stuck + injection only) OR labor pains >24 hours
Sensitivity: 56-70%, Specificity: 99-100%
Induced abortions or miscarriages
Category Obstetric complication Near miss
Hemorrhage Report of vaginal bleeding (other than spotting) heavier than a normal period in 72 hours following pregnancy outcome Report of nearly dying + Profuse bleeding
Sepsis High fever + foul-smelling vaginal discharge OR high fever + lower abdominal pain in 7 days after pregnancy outcome Report of nearly dying + High fever
  1. Caption: These definitions are based on WHO’s Integrated Management of Pregnancy and Childbirth Guidelines [51]. The sensitivity and specificity values come from studies conducted in Indonesia, Philippines, and Ghana [5557].