Table 3. Severe complications and underlying causes in the study population.
Severe complications and underlying causes* | PLTC n = 180 |
SMO n = 153 |
MNM n = 142 |
MDs n = 11 |
p-value† | MI (%) |
---|---|---|---|---|---|---|
Hypertensive disorders | 73 (40.5) | 64 | 58 (40.8) | 6 (54.5) | 0.528 | 9.4 |
Severe preeclampsia | 55 (30.5) | 46 | 42 (29.5) | 4 (36.3) | 0.735 | 8.7 |
Eclampsia | 18 (10.0) | 18 | 16 (11.2) | 2 (18.1) | 0.620 | 11.1 |
Obstetric hemorrhage** | 62 (34.4) | 53 | 50 (35.2) | 3 (27.2) | 0.749 | 5.6 |
Severe postpartum hemorrhage |
54 (30.0) | 47 | 44 (30.9) | 3 (27.2) | 1.000 | 6.3 |
Severe complications of abruption |
12 (6.6) | 12 | 11 (7.7) | 1 (9.0) | 1.000 | 8.3 |
Severe complications of placenta previa |
9 (5.0) | 7 | 6 (4.2) | 1 (9.0) | 0.413 | 14.2 |
Ruptured uterus | 6 (3.3) | 6 | 5 (3.5) | 1 (9.0) | 0.366 | 16.7 |
Sepsis or severe systemic infection | 14 (7.7) | 12 | 11 (7.7) | 1 (9.0) | 1.000 | 8.3 |
Severe complications of abortion | 11 (6.1) | 8 | 8 (5.6) | 0 (0.0) | 1.000 | 0.0 |
Severe complications of ectopic | 14 (7.7) | 12 | 12 (8.4) | 0 (0.0) | 0.603 | 0.0 |
Medical/surgical/mental diseases or complications | 3 (1.6) | 3 | 3 (2.1) | 0 (0.0) | 1.000 | 0.0 |
Unanticipated complications of management | 12 (6.6) | 12 | 10 (7.0) | 2 (18.1) | 0.208 | 16.7 |
Other complications associated with SMO†† | 4 (2.2) | 2 | 2 (1.4) | 0(0.0) | 1.000 | 0.0 |
Coincidental conditions | 2 (1.1) | 1 | 1 (0.7) | 0(0.0) | 1.000 | 0.0 |
Unknown causes | 5 (2.7) | 5 | 4 (2.8) | 1 (9.0) | 0.315 | 20.0 |
Data given as n(%).
PLTC: potentially life-threatening condition; SMO: severe maternal outcome; MNM: maternal near-miss; MD: maternal death; IM: mortality index.
*More than one severe complication or underlying cause was detected.
**Including severe complications of PPH, abruption and placenta previa.
†MNMs and MDs comparison.††Obstetric, medical, and surgical complications other than the above (e.g., diabetes mellitus and pulmonary embolism).