Table 4.
Near miss (NM) and maternal deaths according to the WHO criteria. Teresina, Piaui, Brazil
| Criteria | NM | Deaths | ||
|---|---|---|---|---|
| N | % | n | % | |
| All cases | 56 | 100 | 10 | 100 |
| Presence of 1 criteria | 33 | 58.9 | 1 | 10,0 |
| Presence of 2 criteria | 12 | 21.4 | 1 | 10,0 |
| Presence of 3 or more criteria | 11 | 19.7 | 8 | 80.0 |
| Clinical criteriaa | ||||
| Shock | 12 | 21.4 | 4 | 40.0 |
| Oliguria unresponsive to fluid/diuretics | 1 | 1.8 | 1 | 10.0 |
| Loss of consciousness ≥ 12 h | 2 | 3.6 | 2 | 20.0 |
| Stroke | 1 | 1.8 | – | – |
| Reentrant seizures | 1 | 1.8 | – | – |
| Laboratory-based criteriab | ||||
| Oxygen saturation < 90 % for ≥ 60 min | 1 | 1.8 | 2 | 20.0 |
| Creatinine ≥ 3.5 mg/dl | 3 | 5.3 | 2 | 20.0 |
| Total bilirrubine ≥ 6.0 mg/dl | – | – | 2 | 20.0 |
| Acute thrombocytopenia (<50.000) | 10 | 17.8 | 2 | 20.0 |
| Loss of consciousness and presence of glycosuria/ketonuria | 1 | 1.8 | – | |
| Management-based criteria | ||||
| Continuous use of vasoactive drugs | 11 | 19.6 | 6 | 60.0 |
| Hysterectomy following infection or bleeding | 15 | 26.8 | 4 | 40.0 |
| Transfusion of concentrated red blood cells (≥5 units) | 10 | 17.8 | 3 | 30.0 |
| Intubation and mechanical ventilation for ≥ 60 min | 6 | 10.7 | 6 | 60.0 |
| Dialysis for acute renal failure | 2 | 3.6 | 1 | 10.0 |
| Cardio-pulmonary resuscitation | 3 | 5.3 | 1 | 10.0 |
aAcute cyanosis, gasping, respiratory frequency > 40 or < 6/min, positive bedside coagulation test, loss of consciousness and absence of pulse, jaundice in the presence of pre-eclampsia were not found
bPaO2/FiO2 < 200 mmHg, pH <7.1, lactate > 5 mg/dl were not found