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Table 3 Primary determinants of severe maternal morbidity (SMM)a, near missb (NM) and maternal deathsc (MD). Teresina, Piaui, Brazil

From: Incidence and determinants of severe maternal morbidity: a transversal study in a referral hospital in Teresina, Piaui, Brazil

Determinants

SMM

NM

MD

n

%

n

%

n

%

All cases

343

100

56

100

10

100

Hypertensive disordersd

      

 Severe pre-eclampsia

268

78.1

17

30.4

–

–

 Eclampsia

30

8.7

10

17.8

2

20.0

 HELLP syndrome

13

3.8

10

17.8

2

20.0

Hemorrhagic disordersd

      

 Abruptio placentae

18

5.2

6

10.7

1

10.0

 Uterine atony

2

0.6

3

5.3

2

20.0

 Ectopic pregnancy

3

0.9

1

1.8

–

–

 Uterine rupture

–

–

2

3.6

–

–

 Placenta previa

–

–

2

3.6

–

–

Infectious disordersd

      

 Chorioamnionitis

4

1.2

–

–

–

–

 Endometritis

3

0.9

–

–

–

–

 Infected abortion

1

0.3

1

1.8

3

30.0

Other clinical conditions-surgeries

      

 Sepsis after appendicitis

–

–

1

1.8

–

–

 Diabetic ketoacidosis

–

–

1

1.8

–

–

 Acute pyelonephritis

1

0.3

1

1.8

–

–

 Cardiomyopathy

–

–

1

1.8

–

–

  1. aSevere maternal complications are defined as “potentially life-threatening conditions” (disease-specific, intervention specific and organ dysfunction-based criteria) [12, 22]
  2. bNear miss refers “to a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy” [12, 22]
  3. cMaternal death is “the death of a woman while pregnant or within 42 days of termination of pregnancy” [12, 22]
  4. dMortality index for the different disease categories: hypertensive disorders (9.7 %), hemorrhagic disorders (17.6 %) and infectious disorders (75 %)
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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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