Table 4 Performance of questioning women in a survey for the diagnosis of eclampsia, hemorrhage, infection, jaundice and several procedures during pregnancy or childbirth as indicators of SMM (n = 509)
Sensitivity [95% CI] | Specificity [95% CI] | Likelihood ratio [95% CI] | |
|---|---|---|---|
Eclampsia | |||
Woman had convulsions, seizures or "crisis" during pregnancy, delivery or postpartum | 96.4 [79.8-99.8] | 87.5 [84.2 - 90.3] | 7.7 [6.4-9.9] |
The previous plus: woman had not had convulsions before | 89.3 [70.6-97.2] | 90.9 [87,8 - 93,2] | 9.8 [7.16-13.30] |
The previous plus with an increase in blood pressure, swelling and "turbid vision" during pregnancy, delivery or postpartum | 35,7 [19,3-55,9] | 95,4 [93,0 - 97,0] | 7.8 [4.10-14.85] |
Hemorrhage | |||
Women had bleeding during pregnancy or an increased bleeding during delivery or postpartum | 81.0 [68.7-89.4] | 69.7 [65.2 - 73.9] | 2.7 [2.22-3.22] |
The previous plus: bleeding wet the clothes, the bed or the floor | 55.6 [42.6-67.9] | 81.6 [77.6 - 85.0] | 3.0 [2.25-4.06] |
Infection | |||
Woman had high fever during pregnancy or after delivery | 69.2 [48.1-84.9] | 77.2 [73.2 - 80.8] | 3.0 [2.24-4.12] |
The previous plus chills, with no other disease, with stinky vaginal discharge | 23.1 [9.8-44.1] | 92.8 [90.0 - 94.8] | 3.2 [1.47-6.88] |
Jaundice | |||
Women became yellow during pregnancy or after birth | 57.1 [20.2 - 88.2] | 82.3 [78.6 - 85.5] | 3.2 [1.65 - 6.29] |
The previous plus: Nobody else in the family or neighborhood became yellow next the time she also became yellow | 57.1 [20.2 - 88.2] | 83.3 [79.6 - 86.4] | 3.4 [1.75 - 6.68] |
Procedure | |||
Hysterectomy | 100.0 [85.4 - 100.0] | 99.6 [98.3 - 99.9] | 240.0* [60.20-956.88] |
Admission to Intensive Care Unit | 97.1 [94.8 - 98.5] | 96.0 [90.4 - 98.5] | 24.3* [10.29-57.33] |
Blood transfusion | 89.8 [81.6 - 94.7] | 92.9 [89.9 - 95.1] | 12.6* [8.90-18.19] |
Laparotomy | 69.2 [48.1 - 84.9] | 88.2 [84.9 - 90.9] | 5.9 [4.12-8.36] |
Inter-hospital transfer | 86.5 [78.4 - 92.0] | 74.6 [70.0 - 78.8] | 3.4 [2.84-4.10] |
Mechanical ventilation | 84.8 [73.4 - 92.1] | 70.9 [66.4 - 75.0] | 2.9 [2.44-3.48] |
Postpartum stay > one week | 87.7 [79.9 - 92.9] | 65.3 [60.4 - 70.0] | 2.5 [2.17-2.94] |