Maternal near miss and maternal death in the World Health Organization’s 2005 global survey on maternal and perinatal health
João Paulo Souza, Jose Guilherme Cecatti, Anibal Faundes, Sirlei Siani Morais, Jose Villar, Guillermo Carroli, Metin Gulmezoglu, Daniel Wojdyla, Nelly Zavaleta, Allan Donner, Alejandro Velazco, Vicente Bataglia, Eliette Valladares, Marius Kublickas, Arnaldo Acosta & for the World Health Organization 2005 Global Survey on Maternal and Perinatal Health Research Group
Volume 88, Number 2, February 2010, 113-119
Table 1. Performance of various indicators of maternal morbidity as predictors of maternal death before hospital discharge, eight Latin American countries, 2005
| Indicatora | No. | No. per 1000 deliveries | No. of maternal deaths | Ratio of no. to deaths | Sensitivity (95% CI) | Specificity (95% CI) | Likelihood ratiob (95% CI) | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Hysterectomy | 151 | 1.56 | 7 | 22:1 | 28.0 (27.7–28.3) | 99.9 (99.8–99.9) | 249.7 (105.8–589.2) | ||||
| ICU | 1 102 | 11.35 | 12 | 92:1 | 48.0 (47.7–48.3) | 98.9 (98.8–98.9) | 80.4 (36.8–175.9) | ||||
| Transfusion | 1 340 | 13.80 | 9 | 149:1 | 36.0 (35.7–36.3) | 98.6 (98.6–98.7) | 40.2 (17.8–90.8) | ||||
| Cardiac/renal complications | 483 | 4.97 | 3 | 161:1 | 12.5 (12.3–12.7) | 99.5 (99.4-99.6) | 27.3 (8.2–90.8) | ||||
| Eclampsia | 253 | 2.61 | 1 | 253:1 | 4.0 (3.9–4.1) | 99.7 (99.7–99.8) | 15.9 (2.2–117.5) | ||||
| Respiratory complication | 593 | 6.11 | 1 | 593:1 | 4.2 (4.0–4.3) | 99.4 (99.3–99.4) | 6.8 (0.9–50.1) | ||||
| Diabetes | 742 | 7.64 | 1 | 742:1 | 4.0 (3.9–4.1) | 99.2 (99.2–99.3) | 5.4 (0.7–39.9) | ||||
| Vaginal bleeding | 2 134 | 21.98 | 2 | 1 067:1 | 8.0 (7.8–8.2) | 97.8 (97.7–97.9) | 3.9 (0.9–16.4) | ||||
| Uterotonics | 21 431 | 220.72 | 12 | 1 786:1 | 48.0 (47.7–48.3) | 77.9 (77.6–78.1) | 3.3 (1.5–7.1) | ||||
| Hypertension | 9 415 | 96.97 | 4 | 2 354:1 | 16.0 (15.8–16.2) | 90.3 (90.1–90.5) | 1.8 (0.6–5.2) | ||||
| Referral | 33 504 | 345.06 | 11 | 3 046:1 | 44.0 (43.7–44.3) | 65.5 (65.2–65.8) | 1.5 (0.7–3.3) | ||||
| Pyelonephritis or any UTI | 14 443 | 148.75 | 2 | 7 221:1 | 8.0 (7.8–8.2) | 85.0 (84.8–85.2) | 0.5 (0.1–2.1) | ||||
CI, confidence interval; ICU, intensive care unit; UTI, urinary tract infection.
a No deaths were identified in women with severe anaemia, malaria or sickle cell disease.
b A likelihood ratio > 10 denotes a strong association.