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Our study aims to evaluate the use of early warning scores as a screening tool to predict obstetric mortality and morbidity in pregnant women who will undergo cesarean section.
Our study aims to evaluate the use of early warning scores as a screening tool to predict obstetric mortality and morbidity in pregnant women who will undergo cesarean section.
This prospective study included 304 patients undergoing cesarean section at Suleyman Demirel University between April 2022 and April 2023. Physiological parameters were assessed in all 304 pregnant women before the operation. Maternal early warning scores, including modified early obstetric warning score (MEOWS), maternal early warning score (MEWC), and maternal early warning triggers (MEWT), were calculated for each patient. Patients triggering the system were classified as Group 1 (risky patients), while those not triggering the system were classified as Group 2 (risk-free patients).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All patients who are pregnant and undergo cesarean section | Other | We included all patients who were pregnant and underwent cesarean section and calculated maternal early warning scores. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| All patients who were pregnant and underwent cesarean section | Other | Our study aims to evaluate the use of early warning scores as a screening tool to predict obstetric mortality and morbidity in pregnant women who will undergo cesarean section. |
| Measure | Description | Time Frame |
|---|---|---|
| MEOWS, MEWC and MEWT scores | The presence of a "trigger" for MEOWS in all systems, defined as either a single severely abnormal parameter (falling in the "red" zone) or two slightly abnormal parameters (falling in the "yellow" zone), was categorized as the risky group. Absence or mildness of the trigger was considered as the risk-free group. | One year |
| MEWC score | In the case of MEWC, the presence of only one abnormal parameter designated the risk group, while the absence of a trigger indicated the risk-free group. | One year |
| MEWT score | For MEWT, the presence of a "trigger" defined as either a single severely abnormal parameter (falling in the "red" zone) or two mildly abnormal parameters (falling in the "yellow" zone) was categorized as the risky group, with the absence or mildness of the trigger considered as the risk-free group. | One year |
| Measure | Description | Time Frame |
|---|---|---|
| APGAR score | APGAR scores at 1st and 5th minutes were calculated for postnatal babies. | One year |
| Aldrete score | The Modified Aldrete Recovery Score System was computed for mothers to assess postoperative recovery. |
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Inclusion Criteria:
Exclusion Criteria:
Pregnant Woman
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Suleyman Demirel University | Isparta | Merkez | 32200 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| ID | Term |
|---|---|
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Pregnant woman
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| One year |
| Glasgow Coma Scale | The Glasgow Coma Scale (GCS) was used to evaluate the consciousness of pregnant women. | One year |