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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