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The maternal early warning criteria: a proposal from the national partnership for maternal safety
Journal article   Peer reviewed

The maternal early warning criteria: a proposal from the national partnership for maternal safety

Jill M Mhyre, Robyn D'Oria, Afshan B Hameed, Justin R Lappen, Sharon L Holley, Stephen K Hunter, Robin L Jones, Jeffrey C King and Mary E D'Alton
Journal of obstetric, gynecologic, and neonatal nursing, Vol.43(6), pp.771-779
11/2014
DOI: 10.1111/1552-6909.12504
PMID: 25203897

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Abstract

Case reviews of maternal death have revealed a concerning pattern of delay in recognition of hemorrhage, hypertensive crisis, sepsis, venous thromboembolism, and heart failure. Early-warning systems have been proposed to facilitate timely recognition, diagnosis, and treatment for women developing critical illness. A multidisciplinary working group convened by the National Partnership for Maternal Safety used a consensus-based approach to define The Maternal Early Warning Criteria, a list of abnormal parameters that indicate the need for urgent bedside evaluation by a clinician with the capacity to escalate care as necessary in order to pursue diagnostic and therapeutic interventions. This commentary reviews the evidence supporting the use of early-warning systems, describes The Maternal Early Warning Criteria, and provides considerations for local implementation.
 United States Maternal Mortality Humans Patient Care Team Maternal Death - prevention & control Maternal Death - statistics & numerical data Early Medical Intervention - standards Maternal Death - etiology Time-to-Treatment - standards Health Services Needs and Demand Critical Illness - therapy Female Early Diagnosis Population Surveillance - methods

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