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Table 2 Inclusion criteria for severe acute maternal morbidity

From: SIMPLE: implementation of recommendations from international evidence-based guidelines on caesarean sections in the Netherlands. Protocol for a controlled before and after study

Group 1: ICU admission

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Admission to ICU or coronary care unit, other than for standard postoperative recovery

Group 2: Uterine rupture

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Clinical symptoms (pain, fetal distress, acute loss of contractions and haemorrhage) that led to an emergency CS, at which the presumed diagnosis of uterine rupture was confirmed

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Peripartum hysterectomy or laparotomy for uterine rupture

Group 3: Eclampsia/ HELLP syndrome

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Eclampsia

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HELLP syndrome only when accompanied by liver haematoma or rupture

Group 4: Major obstetric haemorrhage

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Transfusion need of > 4 units of packed cells

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Embolisation or hysterectomy for major obstetric haemorrhage

Group 5: Miscellaneous

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Other cases of severe maternal morbidity to the opinion of the treating obstetrician, not to be included in group 1-4