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Table 3 Suggested parameters and respective decisions in round 2 and round 3

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

Parameter Round 2
n(% agree)
Round 3
n(% agree)
Final Decision
1. Severe abortion complications 36(78·3) Accepted
2. Failed tracheal intubation requiring anaesthetic reversal 17(37·0) Rejected
3. Maternal indication to terminate pregnancy 13(28·3) Rejected
4. Kussmaul respiration 18(39·1) Rejected
5. Severe dehydration 14(30·4) Rejected
6. Confusion 18(39·1) Rejected
7. Ketotic breath 17(37·0) Rejected
8. Acute kidney injury 22(47·8) Rejected
9. Uterine tamponade 20(43·5) Rejected
10. Ligation of internal iliac vessels 22(47·8) Rejected
11. Severe hypotension (systolic BP <90 mmHg lasting >60 min) 28(60·9) 21(44·7) Rejected
12. Pre-eclampsia with the presence of oliguria or respiratory disorder 32(69·6) 30(63·8) Rejected
13. Severe PPH (loss of more than 1000 ml of blood) within 24 h of delivery 29(63·0) 31(66.0) Rejected
14. Severe pre-eclampsia with intensive care unit admission 33(71·7) Accepted
  1. Note: these parameters were suggested in round 1; so rating was done in round 2 and 3 only. BP blood pressure, PPH postpartum haemorrhage