Early detection of severe maternal morbidity: a retrospective assessment of the role of an Early Warning Score System

The Australian & New Zealand Journal of Obstetrics & Gynaecology
Diana M AustinSharon Rhodes

Abstract

The Early Warning Scoring (EWS) surveillance system is used to identify deteriorating patients and enable appropriate staff to be called promptly. However, there is a lack of evidence that EWS surveillance systems lead to a reduction in severe morbidity. To determine whether as EWS may have improved the detection of severe maternal morbidity or lessened the severity of illness among women with severe morbidity at a large tertiary maternity unit at Auckland City Hospital (ACH), New Zealand. Admissions to intensive care, cardiothoracic and vascular intensive care, or an obstetric high-dependency unit (HDU) were identified from clinical and hospital administrative databases. Case reviews and transcribed observation charts were presented to a multidisciplinary review group who, through group consensus, determined whether an EWS might have hastened recognition and/or escalation and effective treatment. The multidisciplinary review team determined that an EWS might have reduced the seriousness of maternal morbidity in five cases (7.6%), including three admissions for obstetric sepsis to intensive care unit and two to obstetric HDU for post-partum haemorrhage. No patient had a complete set of respiratory rate, heart rate, blood pressu...Continue Reading

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Citations

Jan 23, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Herman L HedrianaLaurence E Shields
Feb 12, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Patrick J MaguireMichael J Turner
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Jun 29, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Timothy M CrozierEuan M Wallace
Dec 27, 2018·Acta Obstetricia Et Gynecologica Scandinavica·Beverley A LawtonStacie E Geller
Jun 1, 2019·PloS One·Aminu UmarMatthews Mathai
Feb 8, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Samantha Bernstein
Mar 1, 2021·Computer Methods and Programs in Biomedicine·Ali ÇalhanArif Ceylan
Sep 14, 2021·The Cochrane Database of Systematic Reviews·Valerie SmithMaria Noonan
Oct 12, 2021·American Journal of Perinatology·Angela J StephensBaha M Sibai
Nov 19, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Skandarupan JayaratnamCaroline de Costa

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