Skip to main content

Table 2 Criteria used to initially identify and classify cases of near miss

From: Appropriate criteria for identification of near-miss maternal morbidity in tertiary care facilities: A cross sectional study

Waterstone's Criteria N %
   Severe preeclampsia 45 36.3
   Eclampsia 12 9.7
   HELLP syndrome 7 5.6
   Severe hemorrhage 13 10.5
   Severe sepsis 8 6.4
   Uterine rupture 1 0.8
Sub-total 86 69.3
Mantel's Criteria N %
   Admission to the ICU for whatever reasons 40 32.3
   Hypovolemia requiring 5 or more units of packed red blood cells 9 7.3
   Pulmonary edema 5 4.0
   Emergency hysterectomy for any reason 4 3.2
   Admission to the ICU for sepsis 1 0.8
   Intubation and ventilation for more than 60 minutes except for general anesthesia 1 0.8
   Diabetic ketoacidosis 1 0.8
   Coma for more than 12 hours 1 0.8
   Cardio-respiratory arrest - -
   Peripheral O2 saturation <90% for more than 60 minutes - -
   Ratio Pa O2/FiO2 < 300 mmHg - -
   Oliguria, defined as diurese <400 ml/24 h, refractory to careful hydration or to furosemide or dopamine - -
   Acute urea deterioration to 15 mmol/l or creatinine >400 mmol/l - -
   Jaundice with preeclampsia - -
   Thyrotoxic crisis - -
   Acute thrombocytopenia requiring transfusion of platelets - -
   Sub-arachnoid or intra-parenchymatous hemorrhage - -
   Anesthetic accident: (1) severe hypotension associated with epidural or rachidian anesthesia – hypotension defined as systolic pressure <90 mmHg for more than 60 minutes; (2) failure in tracheal intubation requiring anesthetic reversion - -
Sub-total 62 50.0