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Table 2 Agreement among Maternal Death Review (MDR) committees in classification into the type of maternal death

From: Classifying maternal deaths in Suriname using WHO ICD-MM: different interpretation by Physicians, National and International Maternal Death Review Committees

Type of maternal death

n = 73 (100%)

MDR committees

Suriname

n (%)

Jamaica

n (%)

The Netherlands

n (%)

Direct

41 (56)

41 (56)

36 (49)

Indirect

21 (29)

24 (33)

19 (26)

Unspecified

3 (4)

5 (7)

14 (19)

Not Maternal

8 (11)

3 (4)

4 (6)

Kappa = 0.53 (95% CI 0.44—0.62); p < 0.001

 

Surinamese MDR committee

     
 

Type of maternal death

n = 73

Direct

Indirect

Unspecified

Not Maternal

Total Jamaica

 

Direct

36

1

0

4

41

 

Indirect

4

19

0

1

24

Jamaican MDR committee

Unspecified

1

0

3

1

5

 

Not Maternal

0

1

0

2

3

 

Total Suriname

41

21

3

8

73

Kappa = 0.69 (95% CI 0.53 - 0.86); p < 0.001

 

Type of maternal death

n = 73

Direct

Indirect

Unspecified

Not Maternal

Total Netherlands

 

Direct

31

3

0

2

36

 

Indirect

3

14

0

2

19

The Netherlands MDR committee

Unspecified

7

3

2

2

14

 

Not Maternal

0

1

1

2

4

 

Total Suriname

41

21

3

8

73

Kappa = 0.48 (98% CI 0.32 - 0.63); p < 0.001