Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 18220       
ORIGINAL ARTICLE
Year : 2020  |  Volume : 152  |  Issue : 5  |  Page : 519-522

A validation study of early warning system in high-risk pregnant women


1 Department of Obstetrics & Gynecology, Maulana Azad Medical College & Associated Hospitals, New Delhi, India
2 Department of Gynecology & Obstetrics, Mahatma Gandhi Medical College & Hospital, Jaipur, Rajasthan, India
3 Department of Obstetrics & Gynaecology, NDMC Medical College & Hindu Rao Hospital, New Delhi, India
4 Department of Obstetrics & Gynecology, Hamdard Institute of Medical Sciences & Research, Jamia Hamdard University, New Delhi, India

Correspondence Address:
Dr. Reena Rani
Department of Obstetrics & Gynecology, NDMC Medical College & Hindu Rao Hospital, Malka Ganj, Delhi 110 007
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_1649_18

Rights and Permissions

High-risk obstetric patients have chances of deterioration which can be detected by any early warning score. This study was aimed to assess the suitability of the Obstetrics National Early Warning System (ONEWS) for the pregnant women. This prospective study was conducted on 500 high-risk pregnant women attending a tertiary care teaching hospital. The ONEWS charts were plotted for each of them. The primary outcome measure was composite adverse maternal outcome (CAMO) in the form of one or more among mortality, severe maternal morbidity and intensive care unit admissions. Of the 500 women who participated, 200 (40%) had a score ≥3 (triggered an intervention). The CAMO among the triggered group [59.5% (n=119)] was significantly higher compared to that in the non-triggered group [13.3% (n=40) (P=0.001)]. The area under the receiver operating characteristic curve was 0.800 (95% confidence interval 0.752-0.847). The sensitivity of the ONEWS in predicting CAMO was 74.8 per cent, specificity 76.2 per cent, positive predictive value 59.5 per cent and negative predictive value 86.7 per cent at a cut-off score of 3. ONEWS appears to be a useful tool for predicting adverse maternal outcomes in high-risk pregnant women.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed348    
    Printed6    
    Emailed0    
    PDF Downloaded100    
    Comments [Add]    

Recommend this journal