Table 1

Rates in SMM indicators per 1000 deliveries in Sichuan province of China between 2016 and 2019

SMM indicators2016201720182019Rate between
2016 and 2019
Overall SMM rate35.8028.0534.5733.8633.08
1. Acute myocardial infarction0.0040.0000.0050.0060.004
2. Aneurysm0.0000.0050.0050.0110.005
3. Acute renal failure0.3290.0290.0320.0330.116
4. Adult respiratory distress syndrome0.0170.0340.0210.0330.026
5. Amniotic fluid embolism0.2080.1490.1170.1200.152
6. Cardiac arrest/ventricular fibrillation0.0220.0140.0320.0330.025
7. Conversion of cardiac rhythm0.0000.0000.0050.0110.004
8. Disseminated intravascular coagulation0.1260.1970.1970.1690.170
9. Eclampsia1.4911.1671.2721.0971.268
10. Heart failure/arrest during surgery or procedure*NANANANANA
11. Puerperal cerebrovascular disorders0.0520.0530.1010.0710.068
12. Pulmonary oedema/acute heart failure0.2600.2160.2400.2290.237
13. Severe anaesthesia complications0.0090.0050.0000.0270.010
14. Sepsis0.6290.9081.1761.0750.928
15. Shock1.0660.8880.9310.9930.972
16. Sickle cell disease with crisis0.0000.0000.0000.0000.000
17. Air and thrombotic embolism0.0300.0480.0690.0760.054
18. Blood products transfusion32.25424.82430.86529.79229.465
19. Hysterectomy0.7460.8790.8250.7420.798
20. Temporary tracheostomy0.0000.0000.0000.0000.000
21. Ventilation0.0000.0140.2561.0040.290
Number of delivery cases230 700208 263187 880183 206810 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.