Table 2.
Scoring threshold values of new national maternity early warning score (MEWS) for each vital sign
Vital signs | Score | ||||
2 points | 1 point | 0 points | 1 points | 2 points | |
Respiratory rate (breaths/min) | ≤6 | 7-8 | 9-21 | 22-24 | ≥25 |
Oxygen saturation (%) | ≤92 | 93-94 | ≥95 | — | — |
Temperature (°C) | ≤34.8 | 34.9-35.5 | 35.6-37.2 | 37.3-37.5 | ≥37.6 |
Pulse rate (beats/min) | ≤62 | 63-70 | 71-112 | 113-121 | ≥122 |
Systolic blood pressure (mm Hg) | ≤93 | 94-100 | 101-135 | 136-144 | ≥145 |
Diastolic blood pressure (mm Hg) | ≤56 | 57-61 | 62-88 | 89-96 | ≥97 |
Each vital sign was scored independently, and was scored 0, 1, or 2 points. Non-zero (ie, 1 or 2) points can be scored for vital signs that are either high or low, except for oxygen saturation, which only scored for low values (therefore, all values ≥95% scored 0 points). Individual points were summed to calculate a total early warning score. Because each vital sign can score between 0 and 2 points, the total score can range from 0 to 12.
Example: if a woman's respiratory rate was 22 breaths/min, oxygen saturation 96%, temperature 34.7°C, pulse rate 116 beats/min, systolic blood pressure 139 mm Hg, and diastolic blood pressure 102 mm Hg, she would score 1 point for respiratory rate (22-24 range), 0 points for oxygen saturation (≥95% range), 1 point for temperature (34.9-35.5 range), 1 point for pulse rate (113-121 range), 1 point for systolic blood pressure (136-144 range), and 2 points for diastolic blood pressure (≥97 range). The total (MEWS) score would be 6 points (1+0+1+1+1+2).