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
Specialty: Obstetrics & Gynecology