Kobayashi reported a score for patients with obstetrical disseminated intravascular coagulation (DIC). This is composed of several parts including the underlying disease. The author is from Hamamatsu Medical Center in Shizuoka, Japan.
Patient selection: pregnant woman
Only one underlying condition is scored.
Main categories:
(1) placental disruption
(2) amniotic fluid embolism
(3) DIC-type postpartum hemorrhage
(4) eclampsia
(5) severe infection
(6) other underlying disease
Main Category
Additional
Points
placental disruption
stiffening of the uterus with dead fetus syndrome
5
stiffening of the uterus with fetal survival
4
placental abruption
4
amniotic fluid embolism
acute cor pulmonale
4
artificial ventilation
3
assisted respiration
2
supplemental oxygen
1
other
0
DIC-type postpartum hemorrhage
blood from uterus shows poor coagulability
4
>= 2,000 mL within 24 hours of onset
3
1,000 to 1,999 mL within 24 hours
1
other
0
eclampsia
4
severe infection
septic shock
4
continuous or remittent fever
1
other
1
where:
• The original table does not include "other" categories under amniotic fluid embolism or postpartum hemorrhage.
