Table 1

Definition of near-miss complications
Obstructed labour All cases of ruptured uterus and uterine retraction ring
Obstetric haemorrhage Obstetric haemorrhage characterised by external OR concealed bleeding at any time during pregnancy OR at delivery OR after delivery,
resulting in AT LEAST ONE of the following events:
· shock
· hysterectomy
· blood transfusion
Infections Infections in pregnancy OR after recent pregnancy with:
· hyperthermia OR hypothermia OR clear obstetric source of infections
· AND AT LEAST ONE of the following:
  o systolic blood pressure < 80 mm HG
  o confusion or restlessness
  o jaundice
  o oliguria < 100 ml during any 4 hour period
Hypertensive disorders in pregnancy Hypertensive disorders in pregnancy are characterized as follows:
first case definition
· hypertension defined as blood pressure of > 140/90 mmHg OR a rise in systolic blood pressure by > 30 mmHg OR a rise in diastolic blood pressure by >15 mmHg
· AND AT LEAST ONE of the following signs:
  o convulsion
  o coma
  o jaundice
  o pulmonary oedema
  o severe oliguria
  o massive proteinuria
  o impending eclampsia, defined as AT LEAST TWO of the following signs: visual disturbance OR severe headache OR epigastric pain
second case definition:
· convulsions
· AND AT LEAST ONE of the following signs
  o anti hypertensive treatment
  o massive proteinuria
  o generalised oedema
Anaemia Anaemia is characterised as follows:
· haemoglobin ≤ 5g/dl
· OR mucosa very pallid AND at least one of the following symptoms:
  o breathlessness
  o oedema of legs
  o generalised oedema
· OR, in the absence of haemorrhage:
blood transfusion OR iv iron injections

Borchert et al.

Borchert et al. BMC Pregnancy and Childbirth 2012 12:109   doi:10.1186/1471-2393-12-109

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