Table 3.
Primary determinants of severe maternal morbidity (SMM)a, near missb (NM) and maternal deathsc (MD). Teresina, Piaui, Brazil
| Determinants | SMM | NM | MD | |||
|---|---|---|---|---|---|---|
| n | % | n | % | n | % | |
| All cases | 343 | 100 | 56 | 100 | 10 | 100 |
| Hypertensive disordersd | ||||||
| Severe pre-eclampsia | 268 | 78.1 | 17 | 30.4 | – | – |
| Eclampsia | 30 | 8.7 | 10 | 17.8 | 2 | 20.0 |
| HELLP syndrome | 13 | 3.8 | 10 | 17.8 | 2 | 20.0 |
| Hemorrhagic disordersd | ||||||
| Abruptio placentae | 18 | 5.2 | 6 | 10.7 | 1 | 10.0 |
| Uterine atony | 2 | 0.6 | 3 | 5.3 | 2 | 20.0 |
| Ectopic pregnancy | 3 | 0.9 | 1 | 1.8 | – | – |
| Uterine rupture | – | – | 2 | 3.6 | – | – |
| Placenta previa | – | – | 2 | 3.6 | – | – |
| Infectious disordersd | ||||||
| Chorioamnionitis | 4 | 1.2 | – | – | – | – |
| Endometritis | 3 | 0.9 | – | – | – | – |
| Infected abortion | 1 | 0.3 | 1 | 1.8 | 3 | 30.0 |
| Other clinical conditions-surgeries | ||||||
| Sepsis after appendicitis | – | – | 1 | 1.8 | – | – |
| Diabetic ketoacidosis | – | – | 1 | 1.8 | – | – |
| Acute pyelonephritis | 1 | 0.3 | 1 | 1.8 | – | – |
| Cardiomyopathy | – | – | 1 | 1.8 | – | – |
aSevere maternal complications are defined as “potentially life-threatening conditions” (disease-specific, intervention specific and organ dysfunction-based criteria) [12, 22]
bNear miss refers “to a woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy” [12, 22]
cMaternal death is “the death of a woman while pregnant or within 42 days of termination of pregnancy” [12, 22]
dMortality index for the different disease categories: hypertensive disorders (9.7 %), hemorrhagic disorders (17.6 %) and infectious disorders (75 %)