Table 1 Summary of the 7 domains of the CMDS, including risk-definitions for extremely high risk, high risk, and low risk women

Age

N/A

Below 20 years of age

20 years of age or older and below 35 years of age

35 years of age or older

Parity

N/A

Nulliparous (para = 1)

Multiparous (para 1–4)

Grand-multiparous (para > 4)

Patient size

N/A

Underweight (BMI ≤ 18.5 kg/m

Normal weight (BMI > 18.5 and ≤ 30.0 kg/m

Overweight (BMI > 30.0 kg/m

Obstetrical history

Two of the following:

One of the following:

Lack of these conditions

Previous hemorrhage

Previous hemorrhage

Previous stillbirth or miscarriage

Previous stillbirth or miscarriage

Previous breech delivery

Previous breech delivery

Previous twins (or more)

Previous twins (or more)

Previous pregnancy within 1.5 years or greater than 5 years ago

Previous pregnancy within 1.5 years or greater than 5 years ago

Reported reduction in fetal movements

Reported reduction in fetal movements

Fundal height (3rd trimester)

N/A

Fundal height ≤ 35 cm

Fundal height > 35 cm and ≤ 40 cm

Fundal height > 40 cm

Signs of pre-eclampsia

Very high blood pressure (≥ 140 systolic and ≥ 100 diastolic mmHg)

High blood pressure (> 120 systolic or > 90 diastolic mmHg)

Normal blood pressure (≤ 120 systolic and ≤ 90 diastolic mmHg)

Lack of the aforementioned signs

OR

Any sign of pre-eclampsia: proteinuria, headache, epigastric pain, blurred vision, excessive weight gain of 1 kg or greater per week, or seizures

AND

High blood pressure (> 120 systolic or > 90 diastolic mmHg)

Co-existing conditions

Two of the following:

One of the following:

Lack of the aforementioned conditions

HIV

HIV

Anemia

Anemia

Tuberculosis

Tuberculosis

Female genital mutilation

Female genital mutilation

Diabetes

Diabetes

Malaria

Malaria

OR

One of the following:

Maternal sepsis

Fever with ruptured membranes