The fundamental skills: reducing maternal morbidity and mortality.

The accurate assessment of basic observations such as blood pressure, heart rate, arterial oxygen saturation of blood (SpO²), respirations, temperature and level of consciousness (AVPU score) underpin the fundamentals of basic midwifery care provision. However, after identifying that the signs of impending maternal collapse often went unrecognised leading to subsequent morbidities and mortalities, the confidential enquiry into maternal and child health (CEMACH) report in 2007 (Lewis 2007) recommended that all obstetric women's observations were recorded through a modified early obstetric warning system (MEOWS). This allows for the early detection of women who may become critically unwell and provides an opportunity for practitioners to act promptly and prevent deterioration (Knight et al 2016).This article provides an overview of the MEOWS scores as a tool to improve maternal morbidity and mortality within maternity care.