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Maternal bacteremia and the Irish maternity early warning system

2015; Elsevier BV; Volume: 129; Issue: 2 Linguagem: Inglês

10.1016/j.ijgo.2014.11.022

1879-3479

Patrick Maguire, Amy O’Higgins, Karen A. Power, Niamh Daly, Aoife McKeating, Michael J. Turner,

Maternal and fetal healthcare

International Journal of Gynecology & ObstetricsVolume 129, Issue 2 p. 142-145 Clinical articles Maternal bacteremia and the Irish maternity early warning system Patrick J. Maguire, Corresponding Author Patrick J. Maguire pmaguire7@gmail.com UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandCorresponding author at: UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin 8, Ireland. Tel.: + 353 1 4085760; fax: + 353 1 4085786.Search for more papers by this authorAmy C. O'Higgins, Amy C. O'Higgins UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorKaren A. Power, Karen A. Power UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorNiamh Daly, Niamh Daly UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorAoife McKeating, Aoife McKeating UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorMichael J. Turner, Michael J. Turner UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this author Patrick J. Maguire, Corresponding Author Patrick J. Maguire pmaguire7@gmail.com UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandCorresponding author at: UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin 8, Ireland. Tel.: + 353 1 4085760; fax: + 353 1 4085786.Search for more papers by this authorAmy C. O'Higgins, Amy C. O'Higgins UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorKaren A. Power, Karen A. Power UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorNiamh Daly, Niamh Daly UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorAoife McKeating, Aoife McKeating UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this authorMichael J. Turner, Michael J. Turner UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, Dublin, IrelandSearch for more papers by this author First published: 04 February 2015 https://doi.org/10.1016/j.ijgo.2014.11.022Citations: 16Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Objective To assess whether introduction of the Irish maternity early warning system (IMEWS) in 2013 has improved the recording of vital signs among women with proven maternal bacteremia. Methods In a mixed retrospective and prospective study at a single center in Dublin, Ireland, the patient records of all cases of maternal bacteremia between January 1, 2009, and March 31, 2014, were reviewed. The IMEWS chart was applied retrospectively to records of vital signs from January 2009 to March 2013, and prospectively from April 2013 to March 2014. Results For the 61 cases from the period before IMEWS introduction, vital signs were recorded inconsistently on multiple pages. The frequency of recordings was not standardized. Respiratory rate, in particular, was under-recorded. Among the 17 cases between April 2013 and March 2014 that were eligible for IMEWS chart use, 14 women had vital signs recorded on an IMEWS chart. As compared with the period before IMEWS introduction, there was an improvement in respiratory rate recording as part of the first set of observations. Conclusion Among pregnant women with proven bacteremia, introduction of IMEWS has been associated with an improvement in the recording of vital signs, particularly respiratory rate. Citing Literature Volume129, Issue2May 2015Pages 142-145 RelatedInformation