Validation of the Turkish Version of the Modified Early Obstetric Warning Systems (MEOWS) Charts

NCT05678920 | Completed

• 1 other identifier: MEOWS
• Study Type: observational
• Target: 350
• Locations: 1 country
• Sites: 1

Brief Summary

It was aimed to study MEOWS on patients in the obstetrics clinic and to evaluate the performance of this scale as a screening tool and to contribute to its usability in Turkey by translating MEOWS into Turkish.

Conditions

Validation

Keywords

validation; MEOWS; chart; Turkish

Outcome Measures

Primary Outcomes (2)

• Validation of the Modified Early Obstetric Warning System

  Demonstrating the reliability and validity of the Modified Early Obstetric Warning System chart in Turkish. MEOWS chart is contained within a booklet and is commenced on admission to hospital. The same booklet is used during subsequent admissions to hospital during the relevant pregnant and postnatal period. Specific maternal observations that are recorded on the MEOWS chart are diastolic blood pressure, severity of pain, antenatal discharge and/or postnatal lochia and proteinurea. Physiological parameters which deviate from the norm are allocated a score. The score increases as deviation from the norm escalates. The final score then falls into one of three categories: a low, medium, or high score. A low score is 1-4, a medium score is 5-6 and a high score is 7 or more. Any single score of 3 indicates an extreme variation from the normal, which is considered at least a medium score. The colour prompts are green for a low score, amber for medium and red for high scores.

  Obstetric patients older than 28 weeks of gestation and between 6 weeks postpartum

• Modified Early Obstetric Warning System Chart

  Calculation of sensitivity, specificity, positive and negative predictive value of the chart

  At the end of the study, assessed up to 1 month.

Study Arms (1)

Pregnant and postpartum patients

Pregnant patients older than 28th gestational week and patients up to postpartum 6th week who were hospitalized in the obstetrics department

Other: patient-administered questionnaires

Interventions

patient-administered questionnaires OTHER

patient-administered questionnaires (MEOWS): Obstetric early warning systems are recommended to provide timely recognition, treatment and early referral of critically ill or developing patients. The development of early warning systems from simple bedside observation charts arose from the knowledge that physiological disturbances precede critical illness. Thanks to these charts, the fact that the patient's findings are in the risky value ranges allows the clinician to evaluate the patient earlier and in detail. MEOWS is a simple screening tool for maternal morbidity.

Pregnant and postpartum patients

Eligibility Criteria

• Age: 18 Years - 40 Years
• Gender Eligibility Details: A study on obstetric patients hospitalized in obstetrics and gynecology clinics.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Patients whose pregnancy is older than 28 weeks and between 6 weeks postpartum

You may qualify if:

• Obstetric patients receiving inpatient treatment in obstetrics and gynecology clinics
• Patients whose pregnancy is older than 28 weeks and between 6 weeks postpartum
• Patients who agreed to participate in the study

You may not qualify if:

• Patients who did not agree to participate in the study
• Patients under the age of 18
• Outpatients

Sponsors & Collaborators

• Samsun Education and Research Hospital: lead

Study Sites (1)

Samsun Research and Education Hospital

Samsun, 55090, Turkey (Türkiye)

Location

Related Publications (4)

• Singh S, McGlennan A, England A, Simons R. A validation study of the CEMACH recommended modified early obstetric warning system (MEOWS). Anaesthesia. 2012 Jan;67(1):12-18. doi: 10.1111/j.1365-2044.2011.06896.x. Epub 2011 Nov 9.

  PMID: 22066604 RESULT

• Moore J, Thomson D, Pimentil I, Fekad B, Graham W. Introduction of a modified obstetric early warning system -(-MOEWS-)- at an Ethiopian referral hospital: a feasibility assessment. BMJ Open Qual. 2019 Mar 30;8(1):e000503. doi: 10.1136/bmjoq-2018-000503. eCollection 2019.

  PMID: 31206042 RESULT

• Tuyishime E, Ingabire H, Mvukiyehe JP, Durieux M, Twagirumugabe T. Implementing the Risk Identification (RI) and Modified Early Obstetric Warning Signs (MEOWS) tool in district hospitals in Rwanda: a cross-sectional study. BMC Pregnancy Childbirth. 2020 Sep 29;20(1):568. doi: 10.1186/s12884-020-03187-1.

  PMID: 32993541 RESULT

• Singh A, Guleria K, Vaid NB, Jain S. Evaluation of maternal early obstetric warning system (MEOWS chart) as a predictor of obstetric morbidity: a prospective observational study. Eur J Obstet Gynecol Reprod Biol. 2016 Dec;207:11-17. doi: 10.1016/j.ejogrb.2016.09.014. Epub 2016 Oct 8.

  PMID: 27792988 RESULT

Study Officials

• HALE KEFELI CELIK, MD

  Samsun Research and Education Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Anesthesiologist, Principal Investigator

Study Record Dates

• First Submitted: December 14, 2022
• First Posted: January 10, 2023
• Study Start: April 1, 2022
• Primary Completion: October 1, 2022
• Study Completion: November 1, 2022
• Last Updated: January 10, 2023

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)