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. 2021 Aug 2;42(3):543–555. doi: 10.1016/j.ccm.2021.04.012

Table 3.

Comparison of maternal early warning system

Early Warning System Triggers for Evaluation
Modified Early Obstetric Warning System (MEOWS)
  • Either 1 red criterion or 2 yellow criteria must be yet to trigger evaluation

  • Red
    • RR <10 or >30
    • SpO2 <95
    • Temperature <35°C or >38°C
    • SBP <90 mm Hg OR >160 mm Hg
    • DBP >100 mm Hg
    • HR <40 or >120
    • Neurologic response either unresponsive or responsive to pain only
  • Yellow
    • RR 21–30
    • Temperature 35–36°C
    • SBP 90–100 mm Hg OR 150–160 mm Hg
    • DBP 90–100 mm Hg
    • HR 40–50 or 100–120
    • Pain score 2–3
    • Neurologic response to voice only
Maternal Early Warning Criteria
  • Any of the following criteria should trigger evaluation
    • RR <10 or >30
    • SpO2 <95 on room air
    • SBP <90 mm Hg or >160 mm Hg
    • DBP >100 mm Hg
    • HR <50 or >120
    • Oliguria <35 mL/kg for >2 h
Maternal Early Warning Trigger
  • Either 1 red criterion or 2 yellow criteria must be yet to trigger evaluation

  • Red
    • RR >30
    • SpO2 <90%
    • Temperature >38°C
    • SBP >60 mm Hg
    • DBP >110 mm Hg
    • Mean arterial pressure <55 mm Hg
    • HR >130
    • Nursing clinically uncomfortable with patient status
  • Yellow
    • RR <12 or 25–30
    • Temperature <36 C
    • SBP <80 mm Hg OR 156–160 mm Hg
    • DBP <45 mm Hg or 106–110 mm Hg
    • HR <50 or 111–130
    • SpO2 90%–93%
    • Altered mental status

Abbreviations: DBP, diastolic blood pressure; HR, heart rate; RR, respiratory rate; SBP, systolic blood pressure.