Table 2 WHO Near Miss Criteria with demonstrated feasibility of collection in a RLS [28, 29, 7]

Death

Mortality occurring at any time point after delivery and prior to discharge

X

Acute cyanosis

Blue or purple coloration of the skin or mucous membranes due to low oxygen saturation

X

Gasping

Terminal respiratory pattern, the breath is convulsively and audibly caught.

X

Severe bradypnea or tachypnea*

Respiratory rate < 6 or Respiratory rate > 40

Shock*

Persistent systolic BP ≤ 80 mmHg or a persistent systolic BP ≤ 90 mmHg with a HR ≥ 120

Oliguria

Urinary output < 30 ml/hour for 4 h or < 400 ml/24 h non-responsive to fluids/diuretics

X

Failure to form clots

Bedside clotting test or absence of clotting from the IV site after 7 min

X

Prolonged unconsciousness

Complete or near-complete lack of responsiveness to external stimuli

X

Cardiac arrest

Sudden absence of pulse and loss of consciousness

X

Stroke

Neurological deficit of cerebrovascular cause persisting ≥24 h

X

Uncontrollable fits

Refractory, persistent convulsions or status epilepticus

X

Total paralysis

Complete or partial paralysis of both sides of the body

X

Jaundice in the presence of pre-eclampsia

BP >  140/90 with proteinuria (>  1 + dipstick in ≥2 samples) and jaundice

X

Acute severe azotemia

Creatinine > 300 mmol/l or > 3,5 mg/dl

X

Severe acute hyperbilirubinemia

Bilirubin > 100 μmol/l or > 6.0 mg/dl.

X

Severe acute thrombocytopenia

< 50,000 platelets/ml

X

Use of continuous vasoactive drugs

Uninterrupted infusion of dopamine, epinephrine, or norepinephrine

X

Hysterectomy

Surgical removal of the uterus following infection or hemorrhage

X

Massive transfusion

Transfusion of ≥5 units of blood

X

Intubation and ventilation not related to anesthesia

Placement of an endotracheal tube or ventilation for > 60 min purposes other than anesthesia

X

Dialysis for acute renal failure**

X

Cardiopulmonary resuscitation

Emergency procedures including chest compressions and lung ventilation

X