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The Modified Early Warning Score (MEWS) uses physiological parameters to identify patients that are at increased risk of catastrophic deterioration, resulting in ICU admission or death.

The Early Warning Scoring System and Action Protocol are designed to help identify deterioration in the woman and ensure appropriate early intervention. All action taken must be fully documented in case notes.

It was reported that the positive aspects of MEOWS charts include their use as a visual aid to recognize negative trends especially where the decline is gradual. Defined thresholds enable staff to identify deviations from them and legitimize summoning help across hierarchical boundaries.

The Obstetric Early Warning Score is calculated based on values of the following variables: systolic and diastolic blood pressure, respiratory rate, heart rate, fraction of inspired oxygen (FiO2) required to maintain an oxygen saturation 96%, temperature, and level of consciousness.

Determining a MEWS score involves assigning a number between 0 and 3 to each of the six vital signs (see Figure 2 below). For example, if a patient's systolic blood pressure is between 71 and 80, or if it is more than 200, the nurse would assign that vital sign a score of 2.

The Maternity Early Obstetric Warning System (MEOWS) tool has been specifically modified to reflect the physiological adaptations of normal pregnancy and should therefore be used for pregnant, labouring and postnatal.

The trigger levels in the escalation algorithm contained within the MEOWS booklet are the same as NEWS. A low score is 1–4, a medium score is 5–6 and a high score is 7 or more. Any single score of 3 indicates an extreme variation from the normal, which is considered at least a medium score.

If MEOWS 1-3, observations should be repeated within 30 minutes. If the score remains >0, the midwife should contact Delivery Suite or A/E depending on the likely cause. If a MEOWS ≥4, or 3 in any single parameter, the midwife does not need to wait for a repeat MEOWS before contacting the hospital.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232