MOEWS — Modified Obstetric Early Warning Score
Obstetric adaptation of MEWS for inpatient maternity wards. Sums weighted scores from observations. Triggers for escalation per RCOG / MBRRACE-UK reports. Each parameter 0–3.
Score interpretation
→ Routine observations per local protocol (typically 4-hourly antenatal, more frequent post-natal day 1).
→ Inform midwife in charge; review by registrar within 30 min; recheck observations every 30–60 min until stable. Consider sepsis screen.
→ Same as 2222 / OB emergency call. Senior obstetric + anaesthetic review immediately. Sepsis Six, IV access × 2, bloods including lactate, group & save. ITU bed available. Per MBRRACE-UK 2024 — top causes of direct maternal death are venous thromboembolism, cardiac, sepsis, hypertensive disorders.
Interpretation bands for the MOEWS. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Hydrocortisone (Oral Replacement) · Glucocorticoid Replacement
- Morphine (Oral) · Strong Opioid Analgesic — Step 3 WHO Ladder
- Oxycodone · Strong Opioid Analgesic — Step 3 WHO Ladder
- Donanemab (Anti-Amyloid Monoclonal Antibody) · Anti-Amyloid Immunotherapy (IgG1 — Targets Pyroglutamate-Modified Amyloid-β)
- Melatonin Modified-Release (Elderly Insomnia) · Melatonin Receptor Agonist — Hypnotic
- Morphine Slow-Release (Elderly Chronic Pain) · Opioid Analgesic — Modified-Release Oral
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.