Abstract: Back ground: Early identification of life threatening signs of deterioration, timely escalation or reporting of the changes, coupled with timely review and management of the patient is fundamental in improving if not maximizing patient’s safety. Various studies have revealed that physiological anomalies exist before patients are rushed to intensive care unit or even succumb. Modified early obstetrics warning signs (MEOWS) chart is developed for the obstetric population for the purpose of enabling early signs of deterioration, timely escalation and review of patient.