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Table 4 Level of agreement of underlying causes according to WHO ICD-MM by maternal death review (MDR) committees of Suriname, Jamaica and the Netherlands

From: Classifying maternal deaths in Suriname using WHO ICD-MM: different interpretation by Physicians, National and International Maternal Death Review Committees

Levels of agreement

Suriname, Jamaica and Dutch MDR committee

Surinamese and Jamaican MDR committee

Surinamese and Dutch MDR committee

Almost perfect

Kappa ≥ 0.81

Abortive outcomes

-

Abortive outcomes

Substantial

Kappa 0.61–0.80

Obstetric hemorrhage

Indirect

Abortive outcomes Hypertensive disorders

Obstetric hemorrhage

Indirect

Unspecified

Obstetric hemorrhage

Moderate

Kappa 0.41–0.60

Hypertensive disorders

Obstetric infection

Obstetric infection

Hypertensive disorders

Obstetric infection

Indirect

Fair

Kappa 0.21–0.40

Unspecified

Other direct obstetric

Other direct obstetric

Other direct obstetric

Poor/Slight

Kappa < 0.20

-

-

Unspecified