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Table 4 The WHO maternal near-miss criteriaa

From: Maternal near miss and mortality in a tertiary care hospital in Rwanda

Identification criteria
Cardiovascular dysfunction • Shock
  • Use of continuous vasoactive drugs
  • Cardiac arrest
  • Cardio-pulmonary resuscitation
  • Severe hypoperfusion (lactate > 5 mmol/L or > 45 mg/dL)
  • Severe acidosis (pH < 7.1)
Respiratory dysfunction • Acute cyanosis
  • Gasping
  • Severe tachypnea (respiratory rate > 40 bpm)
  • Severe bradypnea (respiratory rate < 6 bpm)
  • Severe hypoxemia (PAO2/FiO2 < 200 or O2 saturation < 90 % for ≥60 min)
  • Intubation and ventilation not related to anesthesia
Renal dysfunction • Oliguria non responsive to fluids/diuretics
  • Dialysis for acute renal failure
  • Severe acute azotemia (creatinine ≥ 300 umol/ml or ≥ 3.5 mg/dL)
Coagulation/hematologic dysfunction • Failure to form clots
  • Massive transfusion of blood or red cells (≥5 units)
  • Severe acute thrombocytopenia (<50,000 platelets/ml)
Hepatic dysfunction • Jaundice in the presence of pre-eclampsia
  • Severe acute hyperbilirubinemia (bilirubin > 100 umol/L or > 6.0 mg/dL)
Neurologic dysfunction • Prolonged unconsciousness (lasting ≥ 12 hours)/coma (including metabolic coma)
  • Stroke
  • Status epilepticus/uncontrollable fits
  • Total paralysis
Uterine dysfunction • Hemorrhage or infection leading to hysterectomy