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Table 1 List of parameters presented for evaluation and suggested in the study

From: Adaptation of the WHO maternal near miss tool for use in sub–Saharan Africa: an International Delphi study

Original parameters Suggested parameters (=14)
WHO Parameters (=25)
 1. Acute cyanosis
 2. Gasping
 3. Respiratory rate > 40 or <6/min
 4. Shock
 5. Oliguria non responsive to fluids or diuretics
 6. Failure to form clots
 7. Loss of consciousness lasting more than 12 h
 8. Cardiac arrest
 9. Stroke
 10. Uncontrollable fit/total paralysis
 11. Jaundice in the presence of pre-eclampsia
 12. Oxygen saturation < 90% for >60 min
 13. PaO2/FiO2 < 200 mmHg
 14. Creatinine >300 μmol/l or >3.5 mg/dl
 15. Bilirubin >100 μmol/l or >6.0 mg/dl
 16. pH <7.1
 17. Lactate >5 mEq/ml
 18. Acute thrombocytopenia (<50,000 platelets/ml)
 19. Loss of consciousness and ketoacids in urine
 20. Use of continuous vasoactive drugs
 21. Hysterectomy following infection or haemorrhage
 22. Massive transfusion of blood or red cells (≥5 units)
 23. Intubation and ventilation for >60 min not related to anaesthesia
 24. Dialysis for acute renal failure
 25. Cardio-pulmonary resuscitation
Parameters from the literature (=12)
 26. Uterine rupture
 27. Sepsis or severe systemic infection
 28. Eclampsia
 29. Laparotomy other than CS
 30. Pulmonary edema
 31. Admission to the ICU
 32. Diabetic Keto Acidosis
 33. Severe malaria
 34. Obstructed labour
 35. Severe anaemia
 36. Severe HIV related illnesses
 37. Uterine artery embolization
1. Severe abortion complications
2. Failed tracheal intubation requiring anaesthetic reversal
3. Maternal indication to terminate pregnancy
4. Kussmaul respiration
5. Severe dehydration
6. Confusion
7. Ketotic breath
8. Acute kidney injury
9. Uterine tamponade
10. Ligation of internal iliac vessels
11. Severe hypotension (SBP < 90 mmHg lasting >60 min)
12. Pre-eclampsia with the presence of oliguria or respiratory disorder
13. Severe PPH (>1000 ml of blood) within 24 h of delivery
14. Severe pre-eclampsia with ICU admission
  1. CS Caesarean Section, ICU Intensive Care Unit, HIV Human Immunodeficiency Virus, SBP Systolic Blood Pressure, PPH Postpartum haemorrhage