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Implementation Of MEOWS (Maternal Early Obstetric Warning Score) As a Predictor Of Preeclampsia Patient Care In The ICU (Intensive Care Unit)

Implementasi MEOWS (Maternal Early Obstetric Warning Score) Sebagai Prediktor Perawatan Pasien Preeklampsia Di ICU (Intensive Care Unit)

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DOI:

https://doi.org/10.21070/ups.7757

Keywords:

Preeclampsia, Intensive

Abstract

Preeclampsia is a serious pregnancy complication that can require ICU care, making early identification of high-risk patients essential. This retrospective cohort study analyzed 276 preeclampsia patients at RSUD R.T. Notopuro Sidoarjo (June 2023–2024) using secondary data. The study evaluated the Maternal Early Obstetric Warning Score (MEOWS) with ROC analysis, sensitivity-specificity testing, and logistic regression. Results showed 9.1% of patients required ICU care, with an AUC of 0.686 (p = 0.001), indicating moderate predictive ability. MEOWS proved reasonably accurate as a screening tool for identifying patients at risk. While useful for guiding ICU decisions, further research is needed to enhance accuracy and validate the tool externally.

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References

Dinkes Provinsi Jatim. (2022). Profil kesehatan Provinsi Jawa Timur. Surabaya: Dinkes Provinsi Jawa Timur.

Dinkes Kabupaten Sidoarjo. (2022). Profil kesehatan Kabupaten Sidoarjo. Sidoarjo: Dinkes Kabupaten Sidoarjo.

Mackintosh, N. (2014). Assessing and responding to patient deterioration: The development of early warning scores and systems. London: Oxford University Press.

Perkumpulan Obstetri dan Ginekologi Indonesia (POGI). (2016). Panduan praktik klinis untuk preeklampsia. Jakarta: POGI.

Ratu, M. A. (2023). Hubungan skor MEOWS dengan kejadian perawatan di ICU pada pasien preeklampsia. Jurnal Kesehatan Ibu dan Anak, 12(2), 45-52.

Retnaningtyas, E. (2021). Preeklamsi & asuhan kebidanan pada preeklamsi. Kediri: Strada Press.

Ryan, H. M., Jones, M. A., Payne, B. A., Sharma, S., Hutfield, A. M., Lee, T., et al. (2017). Validating the performance of the modified early obstetric warning system multivariable model to predict maternal intensive care unit admission. Journal of Obstetrics and Gynaecology Canada, 39(9), 728-733.e3. Retrieved from https://link.springer.com/article/10.1007/s43678-023-00500-7

Shields, L. E. (2016). Management of critical care obstetrics. New York: Springer.

Tamara, Y., Lutfi, M., & Prawitasari, S. (2019). Hubungan maternal early obstetric warning score (MEOWS) dengan perawatan di intensive care unit pada pasien preeklampsia berat di RSUP Dr. Sardjito. Jurnal Kesehatan Reproduksi, 6(3). Retrieved from https://jurnal.ugm.ac.id/jkrDOI:10.22146/jkr.49330

Ting, C., Lin, Y., Tsai, C., & Tsai, Y. (2019). Utilization of obstetric early warning scores for predicting clinical outcomes in high-risk obstetric patients. Journal of Obstetric Medicine, 12(3), 140-145.

Warouw, S. M., Suparman, E., & Wagey, F. W. (2016). Karakteristik preeklamsia di RSUP Prof. Dr. R. D. Kandou Manado. Jurnal e-Clinic (eCl), 4(1), 374-378.

World Health Organization (WHO). (2024). Maternal and newborn health: Preventable deaths and quality care. Geneva: WHO Press. Retrieved from https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

Yosi, R. P. (2019). Analisis skor MEOWS sebagai prediktor perawatan di ICU pada kasus preeklampsia. Jurnal Obstetri dan Ginekologi, 8(1), 22-29.

Yuliana, F. (2022). Faktor yang berhubungan terhadap hasil akhir pada pasien preeklamsia berat di RSUP Dr. M. Djamil Padang (Skripsi, Poltekkes Kemenkes Riau).

Posted

2025-04-24