From: Severe maternal morbidity: a case-control study in Maranhao, Brazil
MANTEL[5] | WATERSTONE[15] |
---|---|
Acute pulmonary oedema: Necessitating intravenous furosemide or intubation | Severe pre-eclampsia |
Cardiac arrest | Eclampsia |
Hypovolaemia requiring ≥ 5 unit of packet red blood cells | HELLP Syndrome ((haemolysis, elevated liver enzymes, low platelets) |
Intensive care admission for sepsis | Severe sepsis |
Emergency hysterectomy for sepsis | Severe haemorrhage (estimated blood loss ≥ 1500 ml, peripartum fall in a hemoglobin concentration ≥ 4g/dl or transfusion ≥ 4 units of packed red blood cells) |
Intubation and ventilation for more than 60 minutes, for ant reason other than a general anesthetic | Uterine rupture |
Peripheral O2 saturation <90% for more than 60 minutes | |
Ratio (PaO2/FiO2) <300 | |
Oliguria, defined as diuress <400ml/24h refractory to careful hydration or to furosemide or dopamine | |
Acute urea deterioration to > 15 mmol/ l or creatinine > 400mmol / l | |
Jaundice in the presence of pre-eclampsia | |
Diabetic ketoacidosis | |
Thyrotoxic crisis | |
Acute thrombocytopenia requiring a platelet transfusion | |
Coma in a patient lasting > 12 hours | |
Subarachnoid or intracerebral hemorrhage | |
Intensive care admission admission for any reason | |
Emergency hysterectomy for any reason | |
Anaesthetic Accident: severe hypotension (systolic pressure <90 mmHg lasting >60 minutes) associated with spinal or epidural anaesthetic | |
Anaesthetic Accident : Failed tracheal intubation requiring anaesthetic reversal |