20.500.12556/DiRROS-28859 Obstetric-specific compared to general early warning system for predicting severe postpartum maternal morbidity Severe maternal morbidity is a major global health concern, and early identification of at-risk postpartum women is essential to improving outcomes. We aimed to compare the predictive values of the Modified Early Obstetric Warning System (MEOWS) versus the non-obstetric general Early Warning System (EWS) for predicting severe maternal morbidity in postpartum women. We retrospectively reviewed hospital documentation of 723 postpartum women admitted to the obstetric high dependency unit between October 2020 and March 2021. Severe maternal morbidity was defined using the American College of Obstetricians and Gynecologists' criteria. We assessed the sensitivity, specificity, positive and negative predictive values, as well as positive and negative likelihood ratios, of the MEOWS and the EWS for predicting severe postpartum maternal morbidity. Twenty-four (3.3%) women included in the study met the criteria for severe maternal morbidity. Hypertensive complications and obstetric haemorrhage were the most prevalent causes of maternal morbidity. The sensitivity of the MEOWS was 92%, specificity 62%, positive predictive value 8%, and negative predictive value 100%. The positive likelihood ratio was 2.4, while the negative likelihood ratio was 0.1. In comparison, the EWS had a sensitivity of 63%, specificity of 66%, positive predictive value of 6%, and negative predictive value of 98%. The positive likelihood ratio for the EWS was 1.8, and the negative likelihood ratio was 0.6. The obstetric-specific early warning system proved to be superior for the early prediction of severe postpartum maternal morbidity compared to the general non-obstetric warning system. severe maternal morbidity postpartum period modified early obstetric warning system MEOWS huda materina obolevnost poporodno obdobje spremenjen sistem za zgodnje porodniško opozorilo true false true Angleški jezik Slovenski jezik Neznano 2026-04-09 14:09:23 2026-04-09 14:09:24 2026-04-10 03:55:40 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis vira z dne 22. 1. 2025; str. 1517-1521 no. 7 Vol. 25 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.2/.7 2831-090X 10.17305/bb.2024.11679 223492355 RAZ_Pezdirc_Neza_2025.pdf RAZ_Pezdirc_Neza_2025.pdf 1 B6859812012BF8145249F17485A68718 daed21146fb730b3f782b932314d8d00c2bfa748c48a44f51691add3b2ce2b99 1d0ef59a-340d-11f1-b941-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=43014 https://www.bjbms.org/ojs/index.php/bjbms/article/view/11679 1 f3f4afbd-340c-11f1-b941-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=43013 Univerzitetni klinični center Ljubljana 0 0 0