Coopland et al reported a scoring form to identify a high-risk pregnancy. It has 3 sections one of which is about the present pregnancy. The authors are from the University of Manitoba.
Patient selection: pregnant female
Parameters for reproductive history:
(1) bleeding and week of gestation
(2) hemoglobin in g/dL
(3) gestation in weeks
(4) hypertension
(5) premature rupture of the membranes)
(6) polyhydramnios
(7) small for dates
(8) multiple pregnancy, breech or malpresentation
(9) Rh isoimmunization
Parameter
Finding
Points
bleeding
none
0
< 20 weeks gestation
1
>= 20 weeks gestation
3
hemoglobin
>= 10 g/dL
0
< 10 g/dL (anemia)
1
gestation
<42 weeks
0
>= 42 weeks (prolonged)
1
hypertension
no
0
yes
2
premature rupture of membranes
no
0
yes
2
polyhydramnios
no
0
yes
2
small for dates
no
0
yes
3
multiple pregnancy, breech or malpresentation
no
0
yes
3
Rh isoimmunization
no
0
yes
3
where:
• For bleeding only one affirmative result was reported.
subscore for present pregnancy =
= SUM(points for all of the parameters)
Interpretation:
• minimum subscore: 0
• maximum subscore: 20
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