1 Mar 2019 | Patient Deterioration
The health of pregnant and recently pregnant women can deteriorate for many reasons. At times, the failure to recognise signs of deterioration, escalate care and respond appropriately can cause preventable deterioration. We encourage maternity services and the wider hospital to establish a system for managing the care of pregnant, and recently pregnant (up to and including 42 days later), women who deteriorate while receiving in-hospital care.
This guide helps project leads and teams prepare for and implement a nationally consistent maternity early warning system (MEWS). It sets out the aim of the national MEWS programme, components to implement, available support, and recommended activities during the prepare, implement and sustain periods.
Specific tools and guidance have been developed to help you prepare for and implement the clinical, local measurement, and governance components of the MEWS. These are available to download below.
If you have any queries about these resources, please email firstname.lastname@example.org.
|Preparation and implementation guide (2MB, PDF)|
|Maternity vital signs chart – editable PDF (1.2MB, PDF)|
|Maternity vital signs chart user guide (1.2MB, PDF)|
|Escalation and response sticker to aid clinical documentation (95KB, DOCX)|
|Escalation mapping tool (383KB, DOCX)|
|Factsheet – the eight vital signs (279KB, PDF)|
|Factsheet for project teams – capabilities (387KB, PDF)|
|Factsheet for clinicians – sepsis (363KB, PDF)|
|Factsheet for clinicians – hypertension (298KB, PDF)|
|Factsheet for clinicians – supplemental oxygen (322KB, PDF)|
|Factsheet for clinicians – clinical communication tools (297KB, PDF)|
|Clinical governance recommendations (246KB, PDF)|
|Example policy (220KB, PDF)|
|Factsheet for senior clinicians and clinical leads (298KB, PDF)|
|Factsheet for midwives (322KB, PDF)|
|Factsheet for nurses (318KB, PDF)|
|Factsheet for clinicians – FAQs (321KB, PDF)|
|Education PowerPoint (8.6MB, PPTX)|
|Educational poster (733KB, PDF)|
|MEWS virtual grand round presentation|
Instructions for completing maternity vital signs chart and MEWS eLearning via LearnOnline
|Measurement guidance (254KB, PDF)|
|Audit form (46KB, DOCX)|
|Case review updated August 2021 – editable MS Word version (120KB, DOCX) or PDF version (171KB, PDF)|
|Weekly data collection tool (548KB, XLSM)|
|Monthly data collection tool (824KB, XLSM)|
The following additional materials are available on request by emailing email@example.com: