Table 4.
Diagnostic criteria used for the definition of severe maternal outcomes (maternal near miss cases or maternal deaths) in hypertensive disorders of pregnancy
| Characteristics | All participants | Severe preeclampsia | Eclampsia | Chronic hypertension | HELLP syndrome | p-value |
|---|---|---|---|---|---|---|
| Cyanosis | <0.001 | |||||
| Present | 169 (41.9) | 50 (22.9) | 112 (65.1) | 2 (50.0) | 5 (55.5) | |
| Absent | 234 (58.1) | 168 (77.1) | 60 (34.9) | 2 (50.0) | 4 (44.4) | |
| ∞Abnormal respiration | <0.001 | |||||
| Yes | 186 (46.2) | 61 (28.0) | 115 (66.9) | 3 (75.0) | 7 (77.7) | |
| No | 217 (53.8) | 157 (72.0) | 57 (33.1) | 1 (25.0) | 2 (22.2 | |
| Oliguria | <0.001 | |||||
| Yes | 234 (58.1) | 168 (77.1) | 63 (36.6) | 1 (25.0) | 2 (22.2) | |
| No | 169 (41.9) | 50 (22.9) | 109 (63.4) | 3 (75.0) | 7 (77.7) | |
| Loss of consciousness | <0.001 | |||||
| Yes | 110 (27.3) | 31 (14.2) | 75 (55.2) | 0 (0.0) | 4 (44.4) | |
| No | 293 (72.7) | 187 (85.8) | 97 (44.8) | 4 (100.0) | 5 (55.5) | |
| Shock | <0.001 | |||||
| Yes | 170 (42.2) | 54 (24.7) | 105 (61.0) | 3 (75.0) | 8 (88.8) | |
| No | 233 (57.8) | 162 (75.3) | 67 (39.0) | 1 (25.0) | 1 (11.1) | |
| Coagulopathy | <0.001 | |||||
| Yes | 136 (33.7) | 36 (16.5) | 91 (52.9) | 2 (50.0) | 7 (77.7) | |
| No | 267 (66.3) | 182 (83.5) | 81 (47.1) | 2 (50.0) | 2 (22.2 | |
| ΩOxygen | <0.001 | |||||
| Yes | 182 (45.2) | 61 (28.0) | 111 (64.5) | 2 (50.0) | 9 (100.0) | |
| No | 221 (54.8) | 157 (72.0) | 61 (35.5) | 2 (50.0) | 0 (0.0) | |
| Thrombocytopenia | <0.001 | |||||
| Yes | 183 (45.4) | 54 (24.7) | 118 (68.6) | 2 (50.0) | 7 (77.7) | |
| No | 220 (54.6) | 162 (75.3) | 54 (31.4) | 2 (50.0) | 2 (22.2) | |
| Elevated Serum Creatinine | <0.001 | |||||
| Yes | 152 (37.7) | 46 (21.1) | 98 (57.0) | 2 (50.0) | 6 (66.7) | |
| No | 251 (62.3) | 172 (78.9) | 74 (43.0) | 2 (50.0) | 3 (33.3) | |
| Elevated serum Bilirubin | <0.001 | |||||
| Yes | 141 (35.0) | 39 (17.9) | 93 (54.1) | 2 (50.0) | 7 (77.7) | |
| No | 262 (65.0) | 179 (82.1) | 79 (45.9) | 2 (50.0) | 2 (22.2 | |
| Elevated serum Lactate | <0.001 | |||||
| Yes | 136 (33.7) | 34 (15.6) | 95 (55.2) | 2 (50.0) | 5 (55.5) | |
| No | 267 (66.3) | 184 (84.4) | 77 (44.8) | 2 (50.0) | 4 (44.4) | |
| Use of Dialysis | <0.001 | |||||
| Yes | 33 (8.2) | 7 (3.3) | 23 (13.4) | 1 (25.0) | 2 (22.2) | |
| No | 370 (91.8) | 211 (96.7) | 149 (86.6) | 3 (75.0) | 7 (77.7) | |
| Need for ICU or HDU admission | <0.001 | |||||
| Yes | 208 (51.6) | 65 (29.8) | 132 (76.7) | 3 (75.0) | 8 (88.8) | |
| No | 195 (48.4) | 153 (70.2) | 40 (23.3) | 1 (25.0) | 1 (11.1) |
∞Breathing rate more than 40 or less than 6 per minute; ΩOxygen saturation less than 90 % for more than 60 min; ICU Intensive care unit, HDU High dependency obstetric unit