Complications related to puerperium-ICD-10-CM GUIDELINES BY BHARATH KUMAR MEDESUN STUDENT

1. COMPLICATIONS OF
PUERPERIUM

2. INTRODUCTION
 Generally 6 weeks after delivery is considered as
puerperium period,in this period lot of changes may
occur,like puerperal infections,venous
complications,hemorrhoids in the puerperium etc….

3. Puerperial sepsis
 It is also known as postpartum infections, is any
bacterial infection of the female reproductive tract
following childbirth or miscarriage.
 The most common infection is that of the uterus and
surrounding tissues known as puerperal
sepsis or postpartum metritis.[

4. amniotic fluid embolism
 An amniotic fluid embolism (AFE) is a rare
childbirth (obstetric) emergency in which amniotic
fluid, fetal cells, hair, or other debris enters the
mother's blood stream via the placental bed of the
uterus and triggers an allergic-like reaction. This
reaction then results in cardiorespiratory (heart and
lung) collapse and massive bleeding (coagulopathy).

5. Septic embolism
 A septic embolism is a type of embolism that is
infected with bacteria, resulting in the formation
of pus. These may become dangerous if dislodged
from their original location. Like other emboli, a
septic embolism may be fatal.

6.  Complications of anesthesia during the puerperium
like pulmonary complications,cardiac complications
etc…
 In such cases use additional code to identify specific
complications

7.  Infections of breast associated with pregnancy,the
puerperium and lactation
 Examples:-infections of nipples
 In such cases use additional code to identify
infection

8. AGALACTIA
 Lactation failure or deficiency, also known
as agalactia or agalactorrhea, as well
as hypogalactia or hypogalactorrhea, is a medical
condition in which lactation is insufficient or fails
completely due to an inadequacy of breast
milk production and/or a failure of the milk let-down
reflex in response to suckling following childbirth,
resulting in an inability to properly breastfeed.

9. ICD-10-CM GUIDELINES
 Puerperal sepsis- O85
 Other puerperal infections- O86
 Venous complications and hemorrhoids in the
puerperium-O87
 Obstetric embolism-O88
 Complications of anesthesia during the puerperium-
O89

10.  Complications of the puerperium, not elsewhere
classified- O90
 Infections of breast associated with pregnancy, the
puerperium and lactation- O91
 Other disorders of breast and disorders of lactation
associated with pregnancy and the puerperium-O92
 https://www.medesunglobal.com

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