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This document provides guidelines for the implementation and use of the Irish Maternity Early Warning System (I-MEWS) to monitor and respond to clinical deterioration in pregnant and postnatal women.
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How to fill out Irish Maternity Early Warning System (I-MEWS)

01
Obtain the I-MEWS chart from the healthcare facility.
02
Collect the patient's vital signs: temperature, pulse, respiration rate, blood pressure, and oxygen saturation.
03
Record the values in the appropriate sections of the I-MEWS chart.
04
Calculate the I-MEWS score based on the recorded vital signs by following the scoring guidelines provided on the chart.
05
Document any other relevant clinical observations or symptoms that may impact the patient's condition.
06
Complete the date and time of the assessment for accurate tracking.
07
If the total I-MEWS score is concerning (as per the guidelines), follow the escalation protocol for further evaluation.

Who needs Irish Maternity Early Warning System (I-MEWS)?

01
Pregnant women during antenatal, intrapartum, and postpartum periods who require monitoring for complications.
02
Healthcare professionals working in maternity care for assessing the condition of pregnant women.
03
Teams attending to women with pre-existing conditions that may affect pregnancy.
04
Any facility involved in maternity care that aims to ensure safety and early detection of deterioration in pregnant women.
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The Irish Maternity Early Warning System (I-MEWS) is a clinical tool used to detect and respond to deterioration in the health of pregnant women, new mothers, and their newborns by monitoring vital signs and other clinical indicators.
Healthcare professionals involved in the care of pregnant women and new mothers in maternity settings are required to file the I-MEWS, including midwives and obstetricians.
To fill out the I-MEWS, healthcare professionals must record the patient's vital signs, such as blood pressure, heart rate, temperature, respiratory rate, and additional clinical indicators, then calculate the total score based on predefined criteria.
The purpose of I-MEWS is to provide a standardized method for monitoring the health of pregnant women and new mothers, enabling early identification of potential complications to ensure timely intervention and improve patient outcomes.
The information reported on I-MEWS includes the patient's vital signs (blood pressure, heart rate, temperature, respiratory rate), level of consciousness, and any other significant clinical observations that may indicate deterioration in the patient's condition.
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