Obstetrical tetanus
ICD-10 A34 is a billable code used to indicate a diagnosis of obstetrical tetanus.
Obstetrical tetanus is a severe and potentially fatal infection caused by the bacterium Clostridium tetani, which can occur in women during or after childbirth. This condition is primarily associated with unsterile practices during delivery, particularly in settings where proper hygiene is not maintained. The bacteria typically enter the body through wounds or breaks in the skin, often from contaminated instruments or materials used during childbirth. Symptoms of obstetrical tetanus include muscle stiffness, spasms, and lockjaw, which can lead to complications such as respiratory failure and autonomic instability. The condition is preventable through proper vaccination against tetanus, and it is crucial for healthcare providers to ensure that pregnant women are immunized appropriately. Treatment involves the administration of tetanus immunoglobulin, antibiotics, and supportive care, including muscle relaxants and respiratory support if necessary. Early recognition and intervention are vital to improving outcomes for affected women.
Detailed records of delivery practices, maternal vaccination history, and any complications during labor.
Delivery in unsterile conditions, postpartum infections, and maternal complications.
Ensure that all maternal health records are complete and include vaccination status.
Thorough documentation of clinical symptoms, laboratory results, and treatment protocols.
Management of tetanus infections in postpartum women and vaccination strategies.
Focus on the patient's history of immunization and any previous infections.
Administering the vaccine to a pregnant woman to prevent obstetrical tetanus.
Document the patient's vaccination history and the administration details.
Obstetricians should ensure that vaccination is part of routine prenatal care.
Symptoms include muscle stiffness, spasms, lockjaw, and potentially respiratory failure. Early recognition is crucial for effective treatment.