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 3
Frequency and distribution of maternal near miss criteria according to the maternal outcome.
WHO Life-threatening conditions
MD
MNM
N [Events]
N [Events]
N [Events]
Clinical
10 [10]
3 [3]
7 [7]
Respiratory
Severe tachypnea (RR > 40 bpm) or bradypnea (RR < 6 bpm)
1
0
Circulatory
Cardiac arrest
0
1
Renal and Hepatic
Oliguria
1
1
Jaundice in the PE
0
3
Neurological
Glasgow < 10 (lasting ≥ 12h)
1
0
Stroke
0
1
Coagulation/Hematological
Failure to form clots
0
1
Laboratory
23 [29]
3 [6]
20 [23]
PaO2 /FiO2 < 200mmHg
3
12
Creatinine ≥ 300μmol/L or ≥ 3,5mg/dL
1
2
Bilirubin ≥ 100μmol/L or ≥ 6,0mg/dl
0
2
Thrombocytopenia acute (< 50.000 plt/ml)
1
5
Lactate > 5 mmol
0
1
pH < 7.1
1
1
Management
58 [100]
5 [16]
53 [84]
Use of vasoactive drugs
5
35
Hysterectomy
0
9
Blood transfusion ≥5 units
1
14
Invasive mechanical ventilation > 1h
5
25
Hemodialysis
1
0
CPR
4
1
Combined (clinical and laboratory)
4
23
Combined (clinical and management)
5
53
Combined (laboratory and management)
5
60
Total
65 [139]
5 [25]
60 [114]
MD= maternal death, MNM= maternal near miss, RR= respiratory rate, PE= preeclampsia, PaO2= arterial oxygen tension, PLT= platelets, FiO2= fraction of inspired oxygen, pH= hydrogen ion concentration, CPR= cardiopulmonary resuscitation. According to WHO definition (Say et al., 2009, reference [2])
