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Table 1 Identification criteria of maternal near-miss as used by the WHO 2011

From: Distant and proximate factors associated with maternal near-miss: a nested case-control study in selected public hospitals of Addis Ababa, Ethiopia

Dysfunctional system Clinical criteria Laboratory markers Management based proxies
Cardiovascular Shock
Cardiac arrest
severe hypo perfusion
(lactate > 5 m mol/l or > 45 mg/dl)
severe acidosis (pH < 7.1)
Use of continuous vasoactive drugs
Cardio pulmonary resuscitation
Respiratory Acute cyanosis
severe tachypnea (respiratory rate > 40 breaths per minute)
severe bradypnea (respiratory
rate < 6 breaths per minute)
severe hypoxemia (O2 saturation < 90% for
≥60 min or PAO2/FiO2 < 200)
Intubation and ventilation not related to anesthesia
Renal Oliguria non-responsive to fluids or diuretics Severe
acute azotemia (creatinine ≥300 μmol/ml
or ≥3.5 mg/dl)
Dialysis for acute renal failure
Coagulation/hematological Failure to form clots severe acute thrombocytopenia (< 50,000 platelets/ml) Massive transfusion of blood or red cells (≥5 units)
Hepatic Jaundice in the presence of pre-eclampsia severe acute hyperbilirubinemia
(bilirubin > 100 μmol/l or > 6.0 mg/dl)
Neurological Prolonged unconsciousness (lasting
≥12 h)/coma (including metabolic
coma), stroke, uncontrollable fits/status epileptics, total paralysis
Uterine    Uterine hemorrhage or infection leading to hysterectomy