The 2003-2005 Confidential Enquiry into Maternal and Child Health (CEMACH) recommended use of a modified obstetric warning system (MEOWS) to monitor obstetric admissions.
Patient selection: woman on obstetric service
Parameters:
(1) temperature in °C
(2) systolic blood pressure in mm Hg
(3) diastolic blood pressure in mm Hg
(4) heart rate in beats per minute
(5) respiratory rate in beats per minute
(6) oxygen saturation in percent
(7) pain score (over range from 0 to 3)
(8) neurologic response
These are graded red (serious), yellow (concern), and green.
Parameter |
Finding |
Color |
temperature |
< 35°C |
red |
|
35 to 36°C |
yellow |
|
36.1 to 38°C |
green |
|
> 38°C |
red |
systolic blood pressure |
< 90 mm Hg |
red |
|
90 to 100 mm Hg |
yellow |
|
101 to 149 mm Hg |
green |
|
150 to 160 mm Hg |
yellow |
|
> 160 mm Hg |
red |
diastolic blood pressure |
< 90 mm Hg |
green |
|
90 to 100 mm Hg |
yellow |
|
> 100 mm Hg |
red |
heart rate |
< 40 beats per minute |
red |
|
40 to 50 beats per minute |
yellow |
|
51 to 99 beats per minute |
green |
|
100 to 120 beats per minute |
yellow |
|
> 120 beats per minute |
red |
respiratory rate |
< 10 breaths per minute |
red |
|
10 to 20 breaths per minute |
green |
|
21 to 30 breaths per minute |
yellow |
|
> 30 breaths per minute |
red |
oxygen saturation |
< 95% |
red |
|
>= 95% |
green |
pain score |
0 or 1 |
green |
|
2 or 3 |
yellow |
neurologic response |
awake and alert (or asleep) |
green |
|
responds to voice |
yellow |
|
responds to pain |
red |
|
unresponsive to pain |
red |
An emergency call is made if the patient is unresponsive.
If one red or two yellow triggers are present, then immediate action is taken.
If one yellow trigger is present then the patient is more closely monitored.
If a red trigger is scored 2 points and a yellow trigger 1, then a sum score >=2 indicates immediate action.
Purpose: To monitor an obstretic patient in the hospital using the modified early obstetric warning score (MEOWS)
Specialty: Obstetrics & Gynecology
Objective: risk factors, severity, prognosis, stage
ICD-10: O60-O75,