SMM indicators | 2016 | 2017 | 2018 | 2019 | Rate between 2016 and 2019 |
Overall SMM rate | 35.80 | 28.05 | 34.57 | 33.86 | 33.08 |
1. Acute myocardial infarction | 0.004 | 0.000 | 0.005 | 0.006 | 0.004 |
2. Aneurysm | 0.000 | 0.005 | 0.005 | 0.011 | 0.005 |
3. Acute renal failure | 0.329 | 0.029 | 0.032 | 0.033 | 0.116 |
4. Adult respiratory distress syndrome | 0.017 | 0.034 | 0.021 | 0.033 | 0.026 |
5. Amniotic fluid embolism | 0.208 | 0.149 | 0.117 | 0.120 | 0.152 |
6. Cardiac arrest/ventricular fibrillation | 0.022 | 0.014 | 0.032 | 0.033 | 0.025 |
7. Conversion of cardiac rhythm | 0.000 | 0.000 | 0.005 | 0.011 | 0.004 |
8. Disseminated intravascular coagulation | 0.126 | 0.197 | 0.197 | 0.169 | 0.170 |
9. Eclampsia | 1.491 | 1.167 | 1.272 | 1.097 | 1.268 |
10. Heart failure/arrest during surgery or procedure* | NA | NA | NA | NA | NA |
11. Puerperal cerebrovascular disorders | 0.052 | 0.053 | 0.101 | 0.071 | 0.068 |
12. Pulmonary oedema/acute heart failure | 0.260 | 0.216 | 0.240 | 0.229 | 0.237 |
13. Severe anaesthesia complications | 0.009 | 0.005 | 0.000 | 0.027 | 0.010 |
14. Sepsis | 0.629 | 0.908 | 1.176 | 1.075 | 0.928 |
15. Shock | 1.066 | 0.888 | 0.931 | 0.993 | 0.972 |
16. Sickle cell disease with crisis | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 |
17. Air and thrombotic embolism | 0.030 | 0.048 | 0.069 | 0.076 | 0.054 |
18. Blood products transfusion | 32.254 | 24.824 | 30.865 | 29.792 | 29.465 |
19. Hysterectomy | 0.746 | 0.879 | 0.825 | 0.742 | 0.798 |
20. Temporary tracheostomy | 0.000 | 0.000 | 0.000 | 0.000 | 0.000 |
21. Ventilation | 0.000 | 0.014 | 0.256 | 1.004 | 0.290 |
Number of delivery cases | 230 700 | 208 263 | 187 880 | 183 206 | 810 049 |
There was no ICD-10 code in China that could indicate heart failure/arrest during surgery or procedure. Hence, the tenth indicator was not able to be identified in our data.
ICD-10, International Classification of Diseases Tenth Revision; NA, not available; SMM, severe maternal morbidity.