Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion
ICD-10 O03.6 is a billable code used to indicate a diagnosis of delayed or excessive hemorrhage following complete or unspecified spontaneous abortion.
Delayed or excessive hemorrhage following a spontaneous abortion can occur when the body does not expel all pregnancy tissue, leading to retained products of conception. This condition may manifest days to weeks after the initial abortion event, resulting in significant blood loss that can pose serious health risks. The clinical presentation may include heavy vaginal bleeding, cramping, and signs of shock in severe cases. It is crucial for healthcare providers to monitor patients closely after a spontaneous abortion, especially those with a history of cervical incompetence or other risk factors. Emotional support is also vital, as patients may experience grief and anxiety following a miscarriage. Proper management may involve medical or surgical intervention to ensure complete evacuation of the uterus and to prevent complications such as infection or severe hemorrhage.
Documentation should include details of the spontaneous abortion, any interventions performed, and follow-up care plans.
Patients presenting with heavy bleeding after a spontaneous abortion, requiring evaluation for retained products of conception.
Consideration of the patient's emotional state and the provision of counseling services.
Detailed documentation of maternal and fetal health, especially in high-risk pregnancies.
Management of patients with a history of recurrent miscarriages or cervical incompetence.
Focus on the implications of delayed hemorrhage on future pregnancies and maternal health.
Used when surgical intervention is required for retained products of conception.
Document indication for D&C, including details of the spontaneous abortion and any complications.
Ensure that the procedure is justified based on clinical findings.
Documentation should include the timing of the hemorrhage, any interventions performed, the patient's emotional state, and follow-up care plans. Clear notes on the nature of the spontaneous abortion and any complications are essential.
