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Obstetrical disseminated intravascular coagulation score

2014; Wiley; Volume: 40; Issue: 6 Linguagem: Inglês

10.1111/jog.12426

1341-8076

Takao Kobayashi,

Blood Coagulation and Thrombosis Mechanisms

Abstract Obstetrical disseminated intravascular coagulation ( DIC ) is usually a very acute, serious complication of pregnancy. The obstetrical DIC score helps with making a prompt diagnosis and starting treatment early. This DIC score, in which higher scores are given for clinical parameters rather than for laboratory parameters, has three components: (i) the underlying diseases; (ii) the clinical symptoms; and (iii) the laboratory findings (coagulation tests). It is justifiably appropriate to initiate therapy for DIC when the obstetrical DIC score reaches 8 points or more before obtaining the results of coagulation tests. Improvement of blood coagulation tests and clinical symptoms are essential to the efficacy evaluation for treatment after a diagnosis of obstetrical DIC . Therefore, the efficacy evaluation criteria for obstetrical DIC are also defined to enable follow‐up of the clinical efficacy of DIC therapy.