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Table 1 Inclusion Criteria

From: A cross sectional study of maternal near miss and mortality at a rural tertiary centre in southern nigeria

Criteria

Components

Severe maternal complications

Severe postpartum Hemorrhage

Severe preeclampsia

Eclampsia

Sepsis or severe systemic infection

Ruptured Uterus

Obstructed labour

Severe complications of abortion

Critical interventions or intensive care unit

Admission into intensive care unit

Interventional radiology

Laparotomy for severe obstetrics conditions

Use of blood products (fresh frozen plasma etc.).

Life-threatening conditions (near-miss criteria)

Cardiovascular dysfunction{Shock

cardiac arrest (absence of pulse/heart beat and loss of consciousness),

Use of continuous vasoactive drugs

cardiopulmonary 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 breaths per minute),

severe bradypnea (respiratory rate < 6 breaths per minute)

intubation and ventilation not related to anesthesia,

severe hypoxemia (O2 saturation < 90% for ≥60 min or PAO2/FiO2 < 200)

Renal dysfunction

Oliguria non-responsive to fluids or diuretics, dialysis for acute renal failure,

severe acute azotemia (creatinine ≥300 μmol/ml or ≥3.5 mg/dl)

Coagulation/hematological 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 μmol/l or >6.0 mg/dl)

Neurological dysfunction

Prolonged unconsciousness (lasting ≥12 h)/coma (including metabolic coma), stroke, uncontrollable fits/status epilepticus, total paralysis.

Uterine dysfunction

Uterine hemorrhage or infection leading to hysterectomy.