كتاب
Primary Postpartum Hemorrhage
- Appendix
The EMOTIVE FIRST BUNDLE:Top of Form
Early detection, Massage the uterus, Oxytocic drugs, Tranexamic acid, IV fluids,
èExamination & Escalation
Appendix II
Components of the Modified Early Obstetric Warning Score (MEOWS) (Joint Trust Guideline for the use of the Modified Early Obstetric Warning Score (MEOWS) in Detecting the Seriously Ill and Deteriorating Woman; 25/02/2022, Internet download from https://www.nnuh.nhs.uk/publication/download/modified-early-obstetric-warning-score-meows-mid33-ao13-v7/),
|
MEOW Sore |
3 |
2 |
1 |
0 |
1 |
2 |
3 |
|
1.Temp oC |
< 35 |
35-35.9 |
36-37.4 |
37.5 -37.9 |
38-38.9 |
≥ 39 |
|
|
2.Sys BP |
< 70 |
70-79 |
80-89 |
90-139 |
140-149 |
150-159 |
≥ 160 |
|
3.Dias BP |
≤ 49 |
50-89 |
90-99 |
100-109 |
≥ 110 |
||
|
4.Pulse |
<40 |
40-49 |
50-99 |
100-109 |
110-129 |
≥ 130 |
|
|
5.R R |
≤ 10 |
11-19 |
20-24 |
25-29 |
≥ 30 |
||
|
6.AVPU |
Alert |
Respond to Voice |
Respond to Pain |
Unresponsive |
|||
|
7.UOP ml/hr |
< 10 |
< 30 |
> 30 |
||||
|
8. ± O2 Sat* |
≤ 90% |
91-94% |
≥ 95% |
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|
*Any woman who triggers a MEOWS of ≥ 4, or 3 in any one parameter should have their oxygen saturations recorded with each full set of observations. |
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Green Pathway - expedited management, Score 1-3
Amber Pathway - urgent management, Score 4 or 5 or score 3 in a single item
Red Pathway - emergency management, Score ≥ 6
There is no substitute for wise physician judgment
Appendix III:
A flow chart of the different steps for the management of PPH
