Coopland et al reported a scoring form to identify a high-risk pregnancy. It has 3 sections one of which is reproductive history. The authors are from the University of Manitoba.
Patient selection: pregnant female
Parameters for reproductive history:
(1) age in years
(2) parity
(3) infertility or habitual abortion
(4) postpartum hemorrhage (PPH) or 3rd stage problem
(5) baby weight greater than 9 pounds (4,082 grams)
(6) baby weight less than 5.5 pounds (2,500 grams)
(7) preeclampsia or hypertension
(8) previous long labor or difficult delivery
(9) previous cesarean section
(10) stillbirth or neonatal death
|
Parameter
|
Finding
|
Points
|
|
age in years
|
< 16 years
|
1
|
|
|
16 to 35 years
|
0
|
|
|
> 35 years
|
2
|
|
parity
|
0
|
1
|
|
|
1 to 4
|
0
|
|
|
>= 5
|
2
|
|
infertility or habitual abortion
|
no
|
0
|
|
|
yes
|
1
|
|
PPH or 3rd stage problem
|
no
|
0
|
|
|
yes
|
1
|
|
baby weight > 9 lbs
|
no
|
0
|
|
|
yes
|
1
|
|
baby weight < 5.5 lbs
|
no
|
0
|
|
|
yes
|
1
|
|
preeclampsia or hypertension
|
no
|
0
|
|
|
yes
|
1
|
|
long labor or difficult delivery
|
no
|
0
|
|
|
yes
|
1
|
|
previous cesarean section
|
no
|
0
|
|
|
yes
|
2
|
|
stillbirth or neonatal death
|
no
|
0
|
|
|
yes
|
3
|
subscore for reproductive history =
= SUM(points for all of the parameters)
Interpretation:
• minimum subscore: 0
• maximum subscore: 15
