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Table 2 The Risk identification (RI) and Modified Early Obstetric Warning Score (MEOWS) tool. Modified Early Obstetric Warning Score (MEOWS) tool

From: Implementing the Risk Identification (RI) and Modified Early Obstetric Warning Signs (MEOWS) tool in district hospitals in Rwanda: a cross-sectional study

Score

3

2

1

0

1

2

3

Temperature

 

< 35°. C

 

35–37.4°. C

 

37.5–39°. C

> 39°. C

Systolic *

BP

≤70

71–79

81–89

90–139

140–149

150–159

≥160

Diastolic *

BP

  

≤45

46–89

90–99

100–109

≥110

Pulse

 

≤ 40

40–50

51–100

101–110

111–129

≥ 130

Respiratory

Rate

 

≤ 8

 

9–14

15–20

21–29

≥30

AVPU

   

Alert

Responds to Voice

Responds to Pain

Unconscious

Urine output

mLs/hr

<  10

< 30

 

Not Measured

   
  1. If the pulse rate is higher than the systolic blood pressure then score 2 for ‘Pulse’
  2. MEOWS less or equal to 2: Current plan
  3. MEOWS =3–5: Repeat observations, Senior midwife to review, Medical review
  4. MEOWS high or equal to 6: Inform Coordinator or Senior Midwife, Medical review, Anesthesia review, Referral