From: Validating the WHO maternal near miss tool: comparing high- and low-resource settings
Category | Subcategory | Events | ||||||
---|---|---|---|---|---|---|---|---|
A: Disease | Netherlands (N = 1132) | Tanzania (N = 77) | Corrected (N = 124) | Malawi (N = 86) | Corrected (N = 216) | P-value | Corrected | |
0: PPH | 822 (72.6) | 28 (36.4) | 66 (53.2) | 21 (24.4) | 92 (42.6) | a | a | |
1: Pre-eclampsia | 160 (14.1) | 3 (3.9) | 5 (4.0) | 5 (5.8) | 7 (3.2) | a | a | |
2: Eclampsia | 52 (4.6) | 15 (19.5) | 15 (12.1) | 21 (24.4) | 25 (11.6) | a | a | |
3: Sepsis | 52 (4.6) | 20 (26.0) | 23 (18.5) | 21 (24.4) | 56 (25.9) | a | a | |
4: Ruptured uterus | 46 (4.1) | 11 (14.3) | 15 (12.1) | 18 (20.9) | 36 (16.7) | a | a | |
B: Intervention | Netherlands (N = 1725) | Tanzania (N = 153) | (N = 315) | Malawi (N = 66) | (N = 215) | |||
0: Blood products | 895 (51.9) | 59 (38.6) | 184 (58.4) | 43 (65.2) | 165 (76.7) | a | a | |
1: Interv. radiology | 96 (5.6) | N/A | N/A | N/A | N/A | |||
2: Laparotomy | 197 (11.4) | 27 (17.6) | 50 (15.9) | 23 (34.8) | 50 (23.3) | 0.06 | 0.21 | |
3: Admission to ICU | 537 (31.1) | 67 (43.8) | 81 (25.7) | N/A | N/A | |||
C: Organ dysfunction | Netherlands (N = 1325) | Tanzania (N = 167) | (N = 337) | Malawi (N = 96) | (N = 257) | |||
0: Cardiovascular | 166 (12.5) | 60 (35.9) | 60 (17.8) | 35 (36.5) | 35 (13.6) | a | a | |
1: Respiratory | 115 (8.7) | 35 (21.0) | 35 (10.4) | 13 (13.5) | 13 (5.1) | a | b | |
2: Renal | 26 (2.0) | 4 (2.4) | 4 (1.2) | 1 (1.0) | 1 (0.4) | 0.51 | 0.16 | |
3: C/H | 845 (63.8) | 16 (9.6) | 186 (55.2) | 4 (4.2) | 165 (64.2) | a | 0.70 | |
4: Hepatic | 27 (2.0) | 3 (1.8) | 3 (0.9) | 11 (11.5) | 11 (4.3) | a | b | |
5: Neurologic | 33 (2.5) | 33 (19.8) | 33 (9.8) | 11 (11.5) | 11 (4.3) | a | a | |
6: Hysterectomy | 113 (8.5) | 16 (9.6) | 16 (4.7) | 21 (21.9) | 21 (8.2) | a | 0.20 |