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Table 3 Percentage of records according to criteria used for diagnoses and procedures in cases of near miss and maternal death (HIS, 2002)

From: Severe maternal morbidity (near miss) as a sentinel event of maternal death. An attempt to use routine data for surveillance

 

Diagnoses

Procedures

Group/Criterion; item

Near miss (%)

Maternal death (%)

Near miss (%)

Maternal death (%)

A. Mantel et al., 1998

    

   Cardiac disorder

5.5

8.4

1.3

1.3

   Vascular disorder

< 0.1

1.9

--

--

   Immunological disorder&

23.7

20.8

8.9

14.9

   Respiratory disorder

0.3

0.6

< 0.1

0.6

   Kidney disorder

0.5

1.3

< 0.1

0.6

   Liver disorder

< 0.1

0.0

0.0

0.0

   Metabolic disorder

0.1

0.0

< 0.1

0.0

   Coagulation disorder

2.1

2.6

< 0.1

0.0

   Cerebral disorder

< 0.1

1.3

< 0.1

0.6

   Admission to ICU

--

--

3.4 #

47.4 #

   Emergency hysterectomy

--

--

0.4

7.8

   Anesthesia accident

0.1

0.0

--

--

B. Waterstone et al., 2001

    

   Severe preeclampsia

30.6

14.9

9.3

9.7

   Eclampsia

7.0

11.0

1.1

5.2

   HELLP syndrome

--

--

--

--

   Severe hemorrhage

20.3

14.3

5.5

5.2

   Severe sepsis &

23.7

20.8

8.9

14.9

   Uterine rupture

0.6

0.0

--

--

C. Others

    

   Acute abdomen

0.4

1.3

--

--

   HIV-related disease

0.1

1.3

--

--

   Other surgical procedures

--

--

1.8

5.2

Total

(32,379)

(154)

(32,379)

(154)

  1. -- No codes related to the problem
  2. &Definition identical to items "Immunological disorder" and "Severe sepsis"
  3. # Not found among the 6 procedures of the ICU diary; however found in the field referring to the total number of days in the ICU during hospitalization.