Table 4.
Cause and timing of true cases of severe maternal morbidity (n = 56 women with 106 events)a
| Cause of severe maternal morbidity (AGOG/SMFM Criteria) | Total events (n = 106) | Antepartum (n = 16) | Intrapartum (n = 21) | Postpartum (n = 69) |
|---|---|---|---|---|
| Hemorrhage (i.e., ≥4 U PRBCs, unplanned hysterectomy) | 29 (27) | 0 | 19 (90) | 10(15) |
| Hypertension (i.e., liver capsular rupture, continuous infusion of antihypertensive medication) | 12(11) | 5 | 0 | 7(10) |
| Neurologic (i.e., eclampsia, stroke) | 9 (8.5) | 6 | 0 | 2 (2.9) |
| Renal (i.e., Cr ≥ 2.0 with no pre-existing renal disease, dialysis) | 4(3.8) | 0 | 0 | 4(5.8) |
| Sepsis (i.e., infection with pressor support) | 3 (2.8) | 0 | 0 | 3 (4.3) |
| Pulmonary (i.e., use of a ventilator, venous thromboembolism) | 13 (12) | 2 | 0 | 11 (16) |
| Cardiac (i.e., arrhythmia requiring medication) | 2(1.9) | 0 | 0 | 2 (2.9) |
| ICU for treatment | 27 (25) | 2 | 0 | 25 (36) |
| Surgical complications (i.e., bowel or bladder injury beyond serosal tear) | 4(3.8) | 0 | 2 (9.5) | 2 (2.9) |
| Anesthesia complications (i.e., total spinal anesthesia, aspiration pneumonia) | 3 (2.8) | 0 | 2 (9.5) | 1 |
Abbreviation: Cr, creatinine; ICU, intensive care unit; PRBCs, packed red blood cells.
a
Women had more than one morbidity and thus there are a total of 106 events.