More ing indicators: maternal near-miss ratio Retrospective studies that used data from details of the search strategy are in the (number of cases of maternal near miss before 2009 were included only if they data repository.18 per 1000 live births), maternal mortality made use of the WHO definition for We included studies that met all ratio (number of maternal deaths per maternal near miss. [...] Data analysis We subdivided the countries for analysis into lower-middle income and upper- middle income according to the World Bank categories.19,20 We report the number of studies and the frequency of causes of near miss as numbers and percentages. [...] Of these, we excluded 76 a total of 50 552 maternal near misses out with a minimum of 100 live births over a articles (39 of which did not apply the of the total live births of 10 450 482. [...] Outcomes will differ Some studies reported problems depending on the quality of care and Hypertensive disorders of pregnancy and with applying the tool, including under- socioeconomic circumstances in differ- obstetric haemorrhage were the com- estimation of maternal near miss by using ent regions.19,20 monest causes of maternal near miss. [...] When evaluation of the level of consciousness by the Glasgow coma scale was compromised (due to residual effects of anaesthetics in the postoperative period, or by the use of continuous sedation), the Glasgow coma score of 15 was used as a criterion.
