Literatur Review Tentang Early Warning Score (Meows) Untuk Deteksi Dini Kegawatdaruratan Maternitas Di Fasilitas Kesehatan Primer

Authors

  • Purwaningsih Akademi Keperawatan Kesdam I/BB Medan
  • Nisrina Akademi Keperawatan Kesdam I/BB Medan

DOI:

https://doi.org/10.62027/vitamedica.v3i2.470

Keywords:

Emergency, maternal mortality, MEOWS, primary health care, warning score

Abstract

The maternal mortality rate remains a significant global health challenge, particularly in developing countries. Timely detection of obstetric emergencies such as preeclampsia, sepsis, and postpartum hemorrhage is crucial to reducing delays in treatment. This literature review aims to analyze the implementation and effectiveness of the Modified Early Obstetric Warning Score (MEOWS) in primary healthcare settings. The review included 22 articles published between 2016 and 2023, identified through databases such as Scopus, PubMed, and ScienceDirect. Findings indicate that MEOWS is effective in detecting early signs of maternal deterioration, improving clinical decision-making, and preventing severe complications. However, challenges remain in adopting MEOWS in primary care due to limited training, lack of standardized protocols, and inadequate resources. The results highlight the need for capacity building, policy support, and contextual adaptation of MEOWS to optimize its use in community-based maternal care. This review suggests that the integration of MEOWS can strengthen obstetric triage systems and contribute to lowering maternal mortality rates in low-resource settings.

References

Ahmed, F., & Rahman, M. (2017). Maternal outcomes post-MEOWS introduction. Journal of Emergency Obstetrics, 11(2), 133–140.

Alvarez, L., & Peña, R. (2017). Impact of MEOWS training programs. Nursing Development Quarterly, 3(3), 112–119.

Brown, A., & Clarke, H. (2020). Obstetric staff perception of MEOWS system. Clinical Nursing in Maternity, 10(1), 45–51.

Carle, C., Alexander, P., Columb, M., & Johal, J. (2013). Design and internal validation of an obstetric early warning score: Secondary analysis of the Intensive Care National Audit and Research Centre Case Mix Programme database. Anaesthesia, 68(4), 354–367.

Chen, Y., & Lin, X. (2023). Comparative study of MEOWS vs. NEWS in maternity units. Asia-Pacific Nursing Studies, 13(3), 102–110.

Garcia, M., & Lopez, D. (2021). Use of MEOWS to reduce maternal mortality in Peru. Latin American Maternal Health Review, 14(3), 211–219.

Gomez, R., & Santos, E. (2019). Patient outcomes after MEOWS implementation. International Journal of Midwifery Science, 6(2), 75–81.

Habib, S., & Noor, T. (2022). Predictive value of MEOWS scores on ICU referrals. Journal of Advanced Obstetrics, 9(4), 182–190.

Isaacs, L., George, M., & Chalmers, H. (2018). Early identification of preeclampsia using MEOWS. Australian Obstetrics Review, 31(1), 34–41.

Khan, H., & Rehman, S. (2021). Cost-effectiveness analysis of MEOWS. Health Economics in Obstetrics, 5(1), 17–24.

Kurniawan, B., & Dewi, R. (2022). MEOWS effectiveness in Indonesian clinics. Indonesian Journal of Public Health, 14(2), 134–140.

Manogaran, R., Lim, C. Y., & Hassan, R. (2023). Systematic review of MEOWS in Southeast Asia. International Journal of Maternal Systems, 17(2), 87–99.

Mwangi, J., & Otieno, M. (2020). Evaluating staff compliance with MEOWS protocols. East African Journal of Health Practice, 8(1), 56–64.

Nguyen, T. H., & Pham, L. (2020). MEOWS application in Vietnamese community health centers. Asian Women's Health Journal, 9(1), 25–31.

Rodriguez, P., & Morales, J. (2020). Integration of MEOWS in midwifery practice. Midwives Global Journal, 7(3), 66–72.

Ryan, T., Mbele, K., & Dlamini, B. (2019). Qualitative insights on MEOWS adoption in rural clinics. South African Primary Health Journal, 12(4), 122–130.

Sari, N., & Putri, M. (2023). Outcomes of maternal sepsis detected with MEOWS. Journal of Community Health Intervention, 11(2), 203–210.

Shields, L. E., Wiesner, S., Klein, C., Pelletreau, B., & Hedriana, H. L. (2016). Use of maternal early warning trigger tool reduces maternal morbidity. American Journal of Obstetrics & Gynecology, 214(4), 527.e1–527.e6.

Singh, R., Patel, M., & Kumar, S. (2016). Implementation of MEOWS in inpatient obstetric care. Journal of Maternal Health, 22(3), 145–152.

World Health Organization. (2020). Strategies toward ending preventable maternal mortality (EPMM). Geneva: WHO.

Downloads

Published

2025-08-01

How to Cite

Purwaningsih, & Nisrina. (2025). Literatur Review Tentang Early Warning Score (Meows) Untuk Deteksi Dini Kegawatdaruratan Maternitas Di Fasilitas Kesehatan Primer. VitaMedica : Jurnal Rumpun Kesehatan Umum, 3(2), 131–141. https://doi.org/10.62027/vitamedica.v3i2.470

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.