Table 1 Aetiology of Maternal ‘Near miss’ at KEMH
From: Maternal ‘near miss’ collection at an Australian tertiary maternity hospital
Gestational Age | Maternal Near Miss | WHO near miss criteria fulfilled |
|---|---|---|
< 12 weeks (1st trimester) | Ruptured cornual ectopic pregnancy | Transfusion of > = 5 U blood |
Ruptured tubal ectopic pregnancy | Transfusion of > = 5 U blood | |
Septic miscarriage | Intubated and ventilated | |
Complication of miscarriage | Required hysterectomy and transfusion of >=5 U of blood | |
13–27 weeks | Complicated second trimester miscarriage | Transfusion of > = 5 U blood |
HELLP | Platelets< 50 | |
28-40 weeks (3rd trimester) | Pre-eclampsia & Pancreatitis | Needing intubation and ventilation and altered conscious state |
HELLP | Platelets< 50 | |
Massive PPH | Peripartum hysterectomy and blood transfusion >= 5 U | |
Placenta increta | Peri-partum hysterectomy | |
Placenta increta and PPH | Peri-partum hysterectomy and blood transfusion of >= 5 U | |
PPH and early DIC | Transfusion of > = 5 U blood | |
Diabetic ketoacidosis | Ph < 7.1, RR < 6, intubated and ventilated | |
Acute Respiratory Distress Syndrome (ARDS) | Intubated and ventilated | |
Anaesthetic complication post regional anaesthesia | Intubated and ventilated | |
Malaria (Falciparum) | Platelet < 50 (33) | |
HELLP | Platelet < 50 (44) | |
Acute Fatty Liver of Pregnancy | PO2 < 90 | |
PPH | Intubated & ventilated |