From: Maternal Near Miss and quality of care in a rural Rwandan hospital
WHO near miss criteria [10] | Ruhengeri near miss criteria |
---|---|
Clinical Criteria | |
Acute Cyanosis | Not modified |
Gasping | Not modified |
Respiratory rate > 40 or < 6/min | Not modified |
Shocka | Not modified |
Oliguria non responsive to fluids or diureticsb | Not modified |
Failure to form clotsc | Not modified |
Loss of consciousness lasting > 12 hd | Not modified |
Cardiac arreste | Not modified |
Strokef | Not modified |
Uncontrollable fit/total paralysisg | Not modified |
Jaundice in the presence of pre-eclampsiah | Not modifiedi |
Laboratory-based criteria | |
Oxygen saturation < 90 % for ≥ 60 min | Not modified |
PaO2/FiO2, 200 mmHg | Not availablej |
Creatinine ≥300 mmol/l or ≥ 3.5 mg/dL | Not modified |
Bilirubin > 100 mmol/l or .6.0 mg/dL | Not modified |
pH < 7.1 | Not available |
Lactate > 5 mEq/mL | Not available |
Acute thrombocytopenia (< 50,000 platelets/ml) | Not modified |
ketoacids in urine | Not available |
Management-based criteria | |
Admission to intensive care unit | Not modified |
Use of continuous vasoactive drugs | Not modified |
Hysterectomy following infection or hemorrhage | Not modified |
Transfusion of ≥ 5 units of blood | Not modified |
Intubation and ventilation for ≥ 60 min not related to anesthesia | Not modified |
Dialysis for acute renal failure | Not available |
Cardio-pulmonary resuscitation | Not modified |
Severe maternal complications | |
Eclampsiak | |
Sepsis or severe systemic infectionl | |
Ruptured uterusm |