DIAGNOSTIC ACCURACY OF MODIFIED EARLY OBSTETRIC WARNING SYSTEM FOR PREDICTION OF MATERNAL MORBIDITY

Authors

  • Sadaf Zohra Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Uzma Urooj Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Nayla Khalid Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sumaira Khan Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Asifa Siraj Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Munawar Jannat Rana Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i4.3870

Keywords:

Accuracy, Admission, Diagnostic, Intensive care, Modified early obstetric warning system, Maternal morbidity

Abstract

Objective: To determine the diagnostic accuracy of modified early obstetric warning system for predicting maternal morbidity keeping ICU admission as “gold standard”.

Study Design: Cross sectional validation study.

Place and Duration of Study: Department of Obstetrics and Gynecology, Pak Emirates Military Hospital, Rawalpindi, from Oct 2018 to Apr 2019.

Methodology: A total of 205 patients of singleton pregnancy, post-natal period <6 weeks, history of hypertension and diabetes were considered in the study. Women were followed up to 6 weeks for maternal morbidity in term of intensive care admission. All the data regarding findings of Modified early obstetric warning system and intensive care admission was noted.

Results: The age range of patients was 18-40 years with mean age of 31.585 ± 3.31 years, mean gestational age was 37.595 ± 1.84 weeks and mean parity was 1.839 ± 1.59. Modified early obstetrics warning system as shown sensitivity of 84.38%, specificity 97.11%, diagnostic accuracy by 95%, positive predictive value of 84.38%, negative predictive value of 97.11%, (p=0.001) for prediction of maternal morbidity.

Conclusion: Modified early obstetrics warning system chart fulfills most of criteria of ideal screening tool making it a significant bedside screening tool which can predict obstetric morbidity and mortality in pregnant patients.

Downloads

Download data is not yet available.

Downloads

Published

24-08-2021

Issue

Section

Original Articles

How to Cite

1.
Zohra S, Urooj U, Khalid N, Khan S, Siraj A, Rana MJ. DIAGNOSTIC ACCURACY OF MODIFIED EARLY OBSTETRIC WARNING SYSTEM FOR PREDICTION OF MATERNAL MORBIDITY. Pak Armed Forces Med J [Internet]. 2021 Aug. 24 [cited 2024 Jun. 25];71(4):1134-37. Available from: https://pafmj.org/PAFMJ/article/view/3870