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Table 4 Level of agreement of underlying causes according to WHO ICD-MM by maternal death review (MDR) committees of Suriname, Jamaica and the Netherlands

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

Levels of agreement Suriname, Jamaica and Dutch MDR committee Surinamese and Jamaican MDR committee Surinamese and Dutch MDR committee
Almost perfect
Kappa ≥ 0.81
Abortive outcomes - Abortive outcomes
Substantial
Kappa 0.61–0.80
Obstetric hemorrhage
Indirect
Abortive outcomes Hypertensive disorders
Obstetric hemorrhage
Indirect
Unspecified
Obstetric hemorrhage
Moderate
Kappa 0.41–0.60
Hypertensive disorders
Obstetric infection
Obstetric infection Hypertensive disorders
Obstetric infection
Indirect
Fair
Kappa 0.21–0.40
Unspecified
Other direct obstetric
Other direct obstetric Other direct obstetric
Poor/Slight
Kappa < 0.20
- - Unspecified