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The MEOWS chart is used in the postnatal period up to the 6th week following childbirth. It is likely that physiological changes will have returned to a pre-pregnant state at this stage and most pregnancy-related illness will be resolved (Stables and Rankin, 2005).
The parameters such as heart rate, respiratory rate, blood pressure, general condition, neural response, temperature, oxygen saturation, and proteinuria were recorded on the MEOWS chart at the time of admission and subsequently monitored and recorded.
MEOWS is a way of formalising measurement of physiological variables. The values of the observations are then translated into a summary score which has a critical threshold, above which medical review and intervention is required (see appendix 2 MEOWS call out cascade).
The Confidential Enquiry into Maternal and Child Health (CEMACH) report, UK, recommended the use of the MEOWS chart (Modified Early Obstetric Warning System chart), which was designed to detect the patients suffering from illnesses that may lead to severe obstetric morbidity and mortality.
Objectives: Maternal Early Obstetric Warning System (MEOWS) chart adopted from CEMACH 2003-2005 report is based on the principle that abnormalities in physiological parameters precede critical illness.
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The Modified Early Obstetric Warning Score (MEOWS) has been designed to allow early recognition of physical deterioration in parturiate women by monitoring their physiological parameters.
Modified Early Warning Score (MEOWS) was introduced to obstetric units in the United Kingdom to decrease maternal mortality by improving early detection of clinical signs of deterioration in women who were developing critical illnesses.
A modified early obstetric warning system (MEOWS) 12 Physiological parametersYellow alertRed alertDiastolic blood pressure90100 100Heart rate100120 or 4050 120 or 40Pain score23Neurological responseVoiceUnresponsive, pain4 more rows 20-Apr-2018

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