Description

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.

 


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