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. 2024 May 15;3(1):e000748. doi: 10.1136/bmjmed-2023-000748

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).