Exploring Epidemiological Aspects, Distribution of WHO Maternal Near Miss Criteria, and Organ Dysfunction Defined by SOFA in Cases of Severe Maternal Outcome Admitted to Obstetric ICU: A Cross-Sectional Study

Table 2

Distribution of causes of admission in the obstetric intensive care unit according to the maternal outcome as defined by WHO.

Causes – N ()	SMO	PLTC
	N ()	N ()
Direct obstetric - 175 (62.7)	31 (47.7)	144 (67.3)
(i) Hypertensive - 135 (77.1)	8 (25.8)	127 (88.2)
Preeclampsia	4	99
Eclampsia	2	4
HELLP syndrome	2	22
Hypertensive crisis	0	2
(ii) Hemorrhage - 35 (20)	20 (64.5)	15 (10.4)
Postpartum	19	13
Antepartum	1	2
(iii) Infectious - 4 (2.3)	2 (6.5)	2 (1.4)
Chorioamnionitis	0	1
Endometritis	2	0
Septic abortion	0	1
(iv) Peripartum cardiomyopathy - 1 (0.6)	1 (3.2)	0 (-)
Indirect obstetric - 104 (37.3)	34 (52.3)	70 (32.7)
(i) Infectious disease - 35 (33.6)	12 (35.2)	23 (32.9)
Urinary tract	7	11
Pneumonia	5	5
Dengue	0	2
Others	0	5
(ii) Inflammatory and endocrine disease - 7 (6.7)	3 (8.8)	4 (5.7)
SLE	2	1
Adrenal tumor	1	1
Addison syndrome	0	1
Diabetic ketoacidosis	0	1
(iii) Hematologic disease - 8 (7.7)	4 (11.8)	4 (5.7)
TP	2	1
Hemolytic anemia	2	3
(iv) Heart and pulmonary disease - 31 (29.9)	8 (26.4)	23 (32.9)
Pulmonary edema	2	8
Pulmonary embolism	1	3
Severity acute asthma	2	0
TRALI	1	0
SIRS	1	0
Myasthenic crisis	1	0
other	0	12
(v) Neurological disease - 13 (12.5)	4 (11.8)	9 (12.8)
Seizure (no eclampsia)	2	8
Intracranial hypertension/tumor	1	0
Hemorrhagic stroke	1	0
other	0	1
(vi) Gastrointestinal tract disease - 10 (9.6)	3 (8.8)	7 (10)
Ogilvie’s syndrome	1	0
Portal hypertension/hypovolemic shock	1	1
(vii) Acute pancreatitis	1	0
other	0	6
Total	65 (100)	214 (100)

SMO= severe maternal outcome, PLTC= potentially life-threatening condition, HELLP= hemolysis, elevated liver enzymes, low platelet,
SLE= systemic lupus erythematosus, TP= thrombocytopenic purpura, TRALI= transfusion-related acute lung injury, and
SIRS= systemic inflammatory response syndrome.
According to WHO definition (Say et al., 2009, [2]).
Chi-square= 7.37, p=0.006 (direct X indirect causes).