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Maternal Fetal Triage Index (MFTI)

Maternal Fetal Triage Index (MFTI)2021-01-13T16:45:07+00:00

Learn to do triage differently! AWHONN has developed a five-level obstetric acuity tool for nurses to use when a woman presents for care at a birth unit. This standardized approach helps nurses prioritize the woman’s urgency for provider evaluation. AWHONN’s Maternal Fetal Triage Index (MFTI) is the first obstetric acuity tool designed by a professional society for use across the US.

MFTI Video

AWHONN developed a short video to give you an overview of the Maternal Fetal Triage Index.


Having the evidence based MFTI algorithm and education from AWHONN empowered staff to do triage differently. Staff were engaged and excited because we were part of the pilot and thus on the cutting edge for OB triage. They also saw how much faster we could assess patients using this model and acknowledged the improved workflow.

MFTI Education Course

The MFTI education course teaches perinatal nurses about obstetric triage basics—what triage means in obstetrics, the nurses’ role, and how a systematic approach can be beneficial to improve the process of triage and outcomes.  This online interactive course describes how to prioritize a woman’s urgency for provider evaluation. Clinical cases throughout the course and in the post test assist the learner to apply the concepts presented to prioritize the cases.

$49.00 Member’s Price
$69.00 USD Non-Member’s Price


1.0 contact hours (available through 12/31/2022)

Accreditation Statement

Nursing Contact Hours: Pending approval from AWHONN.

The Association of Women’s Health, Obstetric and Neonatal Nurses is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Accredited status does not imply endorsement by AWHONN or ANCC of any commercial products discussed/displayed in conjunction with the educational activity.

AWHONN is approved by the California Board of Registered Nursing, Provider #CEP580

Available Resources Included in the Course

  • Maternal Fetal Triage Index (MFTI) Algorithm
  • Coping with Labor Algorithm
  • AWHONN’s Nursing Care Quality Draft Measure on Triage
  • References

The MFTI Toolkit

AWHONN has developed the MFTI toolkit for hospital purchasers.  The MFTI Toolkit has the resources that you need to implement the Maternal Fetal Triage Index in your unit.  Hospitals purchasing 10 or more MFTI Education Seats are eligible to purchase additional MFTI Implementation resources to assist you in your MFTI implementation journey.  These resources were developed based upon AWHONN’s work with over 200 hospitals in the MFTI Implementation Communities.


$75/hospital for AWHONN members and $99/hospital for AWHONN non-members

Contact Mitty Songer at with questions or for a review of the toolkit contents.

Implementation Tools2020-01-31T21:26:45+00:00
  • MFTI Audit Log (customizable): example of a log that can be used to audit use of the MFTI in practice and compare assigned MFTI levels
  • MFTI Case Studies Post test Answer Key: for nurse leader use with the MFTI educational module’s case studies posttest (not to be shared with learners)
  • MFTI Provider Handout: explains to providers what the MFTI is and how nurses use the MFTI
  • MFTI Sample News Release (customizable): highlights how your team is using the MFTI to improve quality care
  • MFTI Sample Screening Room Process (customizable): tool developed by a nurse leader in one of AWHONN’s MFTI Implementation Communities to assess each step in triage throughput
  • MFTI Sample  Implementation Timeline (customizable): timeline developed by a nurse leader in one of AWHONN’s MFTI implementation communities describes each step in a successful process beginning with formation of a champions’ team in week 1 to the project debrief in week 42
  • Sample Triage Policy (customizable): this sample triage policy from AWHONN’s Templates for Protocols and Procedures for Maternity Services, 4th Edition (2018) includes a policy about triage of pregnant women and the procedures involved in obstetric triage, transport and/or discharge

*Also included in the MFTI Education Module

Clinical Tools2020-01-31T21:26:02+00:00
  • Coping With Labor Algorithm*: this algorithm for assessing labor pain, researched by University of Utah nurses and midwives, is an integral element of the MFTI’s approach to assessment of pain
  • MFTI Algorithm*: the Maternal Fetal Triage Index in algorithm format
  • MFTI Poster:  poster-sized pdf version of the MFTI algorithm useful for posting in clinical triage settings
  • MFTI Paper Checklist: the Maternal Fetal Triage Index in a checklist format for use before the MFTI is built into an EMR
  • Patient Education about what to expect in triage: article, from AWHONN’s Healthy Mom&Baby consumer magazine, about what pregnant women can expect when they go to a triage unit
  • MFTI References*: literature used in the MFTI educational module
  • Additional AWHONN MFTI Resources: video and articles related to the MFTI and triage
Introductory Items2020-01-31T21:25:10+00:00
  • Terms of use for the MFTI Toolkit: includes discussion of copyright, permission to reprint and liability
  • MFTI Introductory Presentation: covers basic steps to implement the MFTI including organizing your team, collecting baseline data, EMR integration and the MFTI education module
  • MFTI Nurse FAQs: includes answers to clinical questions about the use of the MFTI and logistical questions about the purchase of the MFTI education
  • Sample MFTI Justification Letter: template letter you can use in your institution to gain support for MFTI implementation. This describes the MFTI, it’s ROI for your institution, the cost and how AWHONN supports institutions with implementation
  • Past MFTI Implementation Community Webinar Recordings: nurses who took part in AWHONN’s MFTI implementation communities, leading implementation in three different settings, present the approaches and tools that helped them achieve success


Please contact AWHONN Permissions for inquiries related to distribution of the MFTI at your facility.

Examples of situations requiring permission to reproduce, duplicate or post the MFTI online include, but are not limited to:

  • Including the MFTI in your triage policy
  • Integrating the MFTI into your electronic medical record
  • Using an image of the MFTI as part of a presentation


AWHONN’s development of the MFTI is described in two articles available in the Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN).

Other MFTI Resources

Additional Questions?

Permissions inquiry:
Sales inquiry:
Online Learning Center questions:
Clinical practice questions related to triage:

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