Underlying Diseases

Points

Clinical Symptoms

Points

Blood Tests

Points

1. abruptio placenta

1. actue renal dysfunction

1) fibrin degradation product ≥ 10 mg/dl

1

1) uterine regidity, dead fetus

5

1) anuria (≤5 ml/h)

3

2) platelet count ≤ 10 × 10⁴/mm⁵

1

2) uterine regidity, alive fetus

4

2) oliguria (<5, ≤20 ml/h)

4

3) fibrinogen ≤ 150 mg/dl

1

3) diagnosed by US and/or CTG

4

2. acute respiratory failure

4) prothrombin time ≥ 15 sec. (≤50%)

1

2. amniotic embolism

1) artificial ventilation

4

5) erythroctyte esdimentation rate ≤ 4 mm/15min or ≤15 mm/15min

1

1) artificial ventilation

3

2) oxygen administration

1

6) bleeding time ≥ 5min

1

2) assisted ventilation

2

3. severe organ failure

7) others (AT-3 ≤ 18 mg/dl or ≤60%, prekallikrein, a2-PI, plasminogen, other coagulation factors ≤ 50%)

1

3) oxygen administration

1

1) heart (rate or foamy sputum)

4

3. DIC puerperal hemorrhage

2) liver (visible jaundice)

4

1) incoagulable blood

4

3) brain (coma or convulsion)

4

2) over 2L of blood loss

3

4) digestive organ (necrotizing enterocolitis)

4

3) 1-2L of blood loss

1

4. hemorrhagic tendency

4. eclampsia

4

1) mactotic hematuria, melena, purpura, ulorrhagia

4

5. others

1

5. others

1) pulse rate ≥ 100/min

1

2) systolic blood pressure ≤ 90 mmHg

1

3) clammy sweat

1

4) paleness

1