A Prospective Observational Study on the Use of Modified Early Warning Score (MEWS) as a Predictor of Maternal Outcome in Critically Ill Obstetric Patients at a Tertiary Care Center (Code-T0288)

Introduction: Maternal morbidity and mortality remain significant public health concerns, particularly in critically ill obstetric patients. Early identification of clinical deterioration is crucial for timely intervention. The Modified Early Warning Score (MEWS) is a physiological scoring system used to detect early signs of clinical decline and guide management in critically ill patients. Its role in predicting maternal outcomes in obstetric ICU settings warrants further investigation.

Aims and Objectives: To estimate the performance of Modified Early Warning Score (MEWS) in predicting maternal mortality and morbidity among obstetric patients who are admitted in ICU.

Methods: A prospective observational study will be conducted on obstetric patients admitted to the ICU of a tertiary care center. MEWS will be recorded at admission and monitored throughout the ICU stay. Clinical outcomes, including ICU interventions, length of stay, morbidity, and mortality, will be analyzed. Statistical methods will assess the predictive accuracy of MEWS for adverse maternal outcomes.

Results: It is anticipated that higher MEWS at admission will significantly correlate with increased ICU interventions, longer hospital stays, and higher maternal morbidity and mortality rates. The study expects to validate MEWS as a reliable early warning tool for risk stratification in obstetric critical care.

Conclusion: MEWS is a simple yet effective tool for predicting maternal outcomes in critically ill obstetric patients. Its routine use in obstetric ICU settings may enhance early detection and improve maternal survival.

Keywords: MEWS, Obstetric ICU, Maternal Outcome, Critical Care, Early Warning Score, Risk Stratification.