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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