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J Obstet Gynaecol Res. 2014 Jun;40(6):1500-6. doi: 10.1111/jog.12426.

Obstetrical disseminated intravascular coagulation score.

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Hamamatsu Medical Center, Shizuoka, Japan.

Erratum in

  • J Obstet Gynaecol Res. 2014 Aug;40(8):2014.


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.


clinical symptoms; efficacy evaluation criteria for obstetrical disseminated intravascular coagulation; laboratory findings; obstetrical disseminated intravascular coagulation score; underlying diseases

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