Validation of the Turkish Version of the Modified Early Obstetric Warning Systems (MEOWS) Charts

Study Overview
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Brief Summary
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It was aimed to study MEOWS on patients in the obstetrics clinic and to evaluate the performance of this scale as a screening tool and to contribute to its usability in Turkey by translating MEOWS into Turkish.

Detailed Description
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The Modified Early Obstetric Warning System (MEOWS) is a score-based or color-coded system used to detect changes in physiological parameters and enable earlier recognition and management of deteriorating patients.It was first validated by Sigh et al., then its validity and reliability were demonstrated in many countries, especially in countries with low socio-economic status.Early warning systems are not routinely used in obstetrics clinics in Turkey, and there is no Turkish version of MEOWS in the literature. In this study, it was aimed to study MEOWS on patients in obstetrics clinics and to evaluate the performance of this scale as a screening tool and to validate MEOWS by translating it into Turkish. The study was carried out in 3 stages. The first stage is the translation of MEOWS into Turkish and its cultural adaptation, the second stage is the use of the study scale and the elimination of deficiencies by conducting a pilot study on 30 patients, and the third stage is the collection and evaluation of patient data until the specified sample size is reached.

Official Title
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Validation of the Turkish Version of the Modified Early Obstetric Warning Systems (MEOWS) Charts

Conditions
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Validation

Intervention / Treatment
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* Other: patient-administered questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Obstetric patients receiving inpatient treatment in obstetrics and gynecology clinics Patients whose pregnancy is older than 28 weeks and between 6 weeks postpartum Patients who agreed to participate in the study Exclusion Criteria: Patients who did not agree to participate in the study Patients under the age of 18 Outpatients

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pregnant and postpartum patients<br>Pregnant patients older than 28th gestational week and patients up to postpartum 6th week who were hospitalized in the obstetrics department | Other: patient-administered questionnaires<br>* patient-administered questionnaires (MEOWS): Obstetric early warning systems are recommended to provide timely recognition, treatment and early referral of critically ill or developing patients. The development of early warning systems from simple bedside observation charts arose from the knowledge that physiological disturbances precede critical illness. Thanks to these charts, the fact that the patient's findings are in the risky value ranges allows the clinician to evaluate the patient earlier and in detail. MEOWS is a simple screening tool for maternal morbidity.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Validation of the Modified Early Obstetric Warning System | Demonstrating the reliability and validity of the Modified Early Obstetric Warning System chart in Turkish. MEOWS chart is contained within a booklet and is commenced on admission to hospital. The same booklet is used during subsequent admissions to hospital during the relevant pregnant and postnatal period. Specific maternal observations that are recorded on the MEOWS chart are diastolic blood pressure, severity of pain, antenatal discharge and/or postnatal lochia and proteinurea. Physiological parameters which deviate from the norm are allocated a score. The score increases as deviation from the norm escalates. The final score then falls into one of three categories: a low, medium, or high score. A low score is 1-4, a medium score is 5-6 and a high score is 7 or more. Any single score of 3 indicates an extreme variation from the normal, which is considered at least a medium score. The colour prompts are green for a low score, amber for medium and red for high scores. | Obstetric patients older than 28 weeks of gestation and between 6 weeks postpartum | 
| Modified Early Obstetric Warning System Chart | Calculation of sensitivity, specificity, positive and negative predictive value of the chart | At the end of the study, assessed up to 1 month. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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validation, MEOWS, chart, Turkish