[Recent advances in diagnosis of disseminated intravascular coagulation in obstetrics and gynecology].

Since obstetrical DIC is an acute serious situation, complicated time-consuming tests do not help to make a prompt diagnosis of DIC. Lowered ESR, prolonged bleeding time and defective patterns of thrombelastography are the suggestive findings of DIC, which are available at the bed-side. Obstetrics-specific DIC scoring system, in which high scores were given for clinical items, rather than laboratory tests, showed a good correlation with the regular DIC score in Japan. Since blood samples obtained from pregnant or parturient women showed different patterns of coagulation and fibrinolysis from the nonpregnant condition, attention should be paid to diagnose obstetrical DIC as accurately as possible.