Table 1.
WHO Near-Miss Criteria and Modifications for South Ethiopia, 2018
| WHO Near-Miss Criteria | South Ethiopia |
|---|---|
| Clinical criteria | |
| Acute Cyanosis | Not modified |
| Gasping | Not modified |
| Respiratory rate >40 or <6/min | Not modified |
| Shock | Not modified |
| Oliguria nonresponsive to fluids or diuretics | Not modified |
| Failure to form clots | Not modified |
| Loss of consciousness lasting ≥12 hrs | Not modified |
| Cardiac arrest | Not modified |
| Stroke | Not modified |
| Uncontrollable fit/total paralysis | Not modified |
| Jaundice in the presence of pre-eclampsia | Not modified |
| Laboratory-based criteria | |
| Acute thrombocytopenia (<50,000 platelets/mL) | Not modified |
| PaO2/FiO2 <200 mmHg | Not available |
| Creatinine ≥300 mmol/l or ≥3.5 mg/dL | Not modified |
| Ketoacidosis in urine | Not available |
| Oxygen saturation <90% for ≥60 min | Not modified |
| Lactate >5 mmol/L | Not available |
| Management-based criteria | |
| Admission to intensive care unit | Not modified |
| Use of continuous vasoactive drugs | Not modified |
| Haemorrhage or infection leading to hysterectomy | Not modified |
| Transfusion of ≥5 units of blood* | Modified |
| Intubation and ventilation for ≥60 min not related to anesthesia | Not modified |
| Dialysis for acute renal failure | Not available |
| Cardio-pulmonary resuscitation | Not modified |
Notes: *Transfusion of ≥ 2 units of blood. WHO near-miss criteria data from: World Health Organization. Evaluating the quality of care for severe pregnancy complications: the WHO near-miss approach for maternal health; 2011. Available from: https://apps.who.int/iris/bitstream/handle/10665/44692/9789241502221_eng.pdf?sequence=1&isAllowed=y.7