A Prospective observational study to compare the maternal outcomes between Modified Early Obstetrics Warning System (MEOWS) and Standard of care groups among high risk pregnant women

Maternal mortality is still a major concern for health system worldwide.

Analyses of maternal deaths have consistently revealed that delay in the recognition of pregnancy complications are associated with higher mortality. Therefore, Early warning system was proposed to reduce maternal mortality and morbidity.

MEOWS involve the routine monitoring and recording of vital signs or clinical observations on specifically designed charts with linked escalation protocols. They list criteria for abnormal physiological parameters that trigger a colour coded or weighted scoring system aimed to guide the frequency of monitoring, need for, and urgency of clinical review.

The study aims at evaluating the use of MEOWS score as a simple bedside tool and establish its use in predicting maternal mortality and morbidity. It emphasises the importance of early recognition of deterioration of apparently sick patients, ensures better communication within members of multidisciplinary team, and providing prompt attention to the unwell women.

This study aims at comparing the maternal outcomes between two groups- First group include those women who will be monitored using MEOWS chart and the others monitored as a routine monitoring system.