Maternity Watch Program: Early Warning Triggers

The Maternity Watch program goal is to provide hospital teams with evidence-based education, tools and resources to optimize early recognition and response to maternal warning signs for severe hypertension/preeclampsia, maternal hemorrhage, sepsis and cardiopulmonary events, reducing the incidence of severe maternal morbidity and mortality.

Implementation Guide & Workbook

Maternal Early Warning Triggers (MEWT) Resources and Tools

• MEWT Screening Tool
• MEWT Algorithm– updated January 2018
• Article: Use of Maternal Early Warning Trigger tool reduces maternal morbidity
• Dignity Health’s MEWT Standardized Practices-White Paper
• MEWT FAQs
• Escalation Plan example A
• Escalation Plan example B
• MEWT Screening Collection Tool
• MEWT Screening Summary Review Sheet

Example Protocols

Hemorrhage

• OB Hemorrhage 1
• OB Hemorrhage 2
• OB Hemorrhage 3

Hypertension

• OB Hypertension 1
• OB Hypertension 2
• OB Hypertension order set

Sepsis

• Sepsis and Chorioamnionitis
• Code Sepsis Checklist

Cardiopulmonary

Additional Resources:

AIM Bundles

CMQCC Toolkits and Resources