Table 3. Distribution of MNM according to the sub-Saharan and WHO criteria.
| Parameter | SSA(n) | WHO(n) | Cases not fulfilling the WHO criteria (n) |
|---|---|---|---|
| Maternal near miss | 594 | 128 | 466 |
| Maternal deaths | 28 | 26 | 2 |
| Clinical criteria | |||
| Acute cyanosis | 3 | 3 | 0 |
| Gasping | 7 | 7 | 0 |
| Respiratory rate >40 or <6/min | 26 | 26 | 0 |
| Shock | 51 | 51 | 0 |
| Oliguria nonresponsive to fluids or diuretics | 2 | 2 | 0 |
| Failure to form clots | 13 | 13 | 0 |
| Loss of consciousness lasting ≥12 hours | 10 | 10 | 0 |
| Cardiac arrest | 3 | 3 | 0 |
| Stroke | 3 | 3 | 0 |
| Uncontrollable fit/status epilepticus | 6 | 6 | 0 |
| Jaundice in the presence of pre-eclampsia | 4 | 4 | 0 |
| Eclampsia | 227 | 26 | 201 |
| Uterine rupture | 53 | 39 | 14 |
| Sepsis | 129 | 19 | 110 |
| Pulmonary edema | 13 | 7 | 6 |
| Severe complications of abortion | 16 | 3 | 13 |
| Any clinical criteria | 446 | 91 | 335 |
| Laboratory-based criteria | |||
| Oxygen saturation <90% for >60 minutes | 17 | 17 | 0 |
| Creatinine ≥300μmol/l or ≥3.5 mg/dl | 1 | 1 | 0 |
| Acute thrombocytopenia (<50,000 platelets/ml) | 14 | 14 | 0 |
| Any laboratory based criteria | 27 | 27 | 0 |
| Management-based criteria | |||
| Hysterectomy following infection or hemorrhage | 55 | 55 | 0 |
| Use of blood products a | 177 | 59 | 118 |
| Intubation and ventilation for ≥60 min not related to anesthesia | 13 | 13 | 0 |
| Cardio-pulmonary resuscitation | 10 | 10 | 0 |
| Laparotomy other than for cesarean section | 77 | 44 | 33 |
| Severe pre-eclampsia with ICU admission | 17 | 8 | 9 |
| Any management based criteria | 266 | 77 | 189 |
| Total severe maternal outcome b | 622 | 154 | 468 |
SSA, sub-Saharan Africa; WHO, World Health Organization
a Two or more units of blood
b Total exceeds total number of cases since some women have more than one inclusion criteria