Pregnancy Complications
Conditions
Keywords
Early Warning Scores, MEOWS, MEWC, MEWT, Pregnant Women, Maternal Morbidity
Brief summary
Our study aims to evaluate the use of early warning scores as a screening tool to predict obstetric mortality and morbidity in pregnant women who will undergo cesarean section.
Detailed description
Our study aims to evaluate the use of early warning scores as a screening tool to predict obstetric mortality and morbidity in pregnant women who will undergo cesarean section. This prospective study included 304 patients undergoing cesarean section at Suleyman Demirel University between April 2022 and April 2023. Physiological parameters were assessed in all 304 pregnant women before the operation. Maternal early warning scores, including modified early obstetric warning score (MEOWS), maternal early warning score (MEWC), and maternal early warning triggers (MEWT), were calculated for each patient. Patients triggering the system were classified as Group 1 (risky patients), while those not triggering the system were classified as Group 2 (risk-free patients).
Interventions
OTHERAll patients who were pregnant and underwent cesarean section
Our study aims to evaluate the use of early warning scores as a screening tool to predict obstetric mortality and morbidity in pregnant women who will undergo cesarean section.
Sponsors
Suleyman Demirel University
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Pregnant woman
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* All patients who are pregnant and undergo cesarean section
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MEOWS, MEWC and MEWT scores | One year | The presence of a trigger for MEOWS in all systems, defined as either a single severely abnormal parameter (falling in the red zone) or two slightly abnormal parameters (falling in the yellow zone), was categorized as the risky group. Absence or mildness of the trigger was considered as the risk-free group. |
| MEWC score | One year | In the case of MEWC, the presence of only one abnormal parameter designated the risk group, while the absence of a trigger indicated the risk-free group. |
| MEWT score | One year | For MEWT, the presence of a trigger defined as either a single severely abnormal parameter (falling in the red zone) or two mildly abnormal parameters (falling in the yellow zone) was categorized as the risky group, with the absence or mildness of the trigger considered as the risk-free group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| APGAR score | One year | APGAR scores at 1st and 5th minutes were calculated for postnatal babies. |
| Aldrete score | One year | The Modified Aldrete Recovery Score System was computed for mothers to assess postoperative recovery. |
| Glasgow Coma Scale | One year | The Glasgow Coma Scale (GCS) was used to evaluate the consciousness of pregnant women. |
Countries
Turkey (Türkiye)
Outcome results
None listed