Severe pre-eclampsia, complicating the puerperium
ICD-10 O14.15 is a billable code used to indicate a diagnosis of severe pre-eclampsia, complicating the puerperium.
Severe pre-eclampsia is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, most often the liver and kidneys. When it occurs during the puerperium, which is the period following childbirth, it can lead to significant maternal morbidity and mortality. This condition is often associated with severe features such as elevated blood pressure (≥160/110 mmHg), proteinuria, and symptoms like severe headaches, visual disturbances, and upper abdominal pain. HELLP syndrome, a severe form of pre-eclampsia, can also develop, characterized by hemolysis, elevated liver enzymes, and low platelet count. Management typically involves the administration of magnesium sulfate to prevent seizures, along with antihypertensive medications to control blood pressure. Close monitoring of the mother and newborn is essential during this period to mitigate risks and ensure appropriate care.
Detailed records of blood pressure, protein levels, and symptoms must be maintained.
Management of severe pre-eclampsia during labor and postpartum care.
Accurate coding requires understanding the timeline of symptoms and interventions.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings.
High-risk pregnancies with severe pre-eclampsia requiring multidisciplinary management.
Focus on the implications of severe pre-eclampsia on fetal health and delivery planning.
Used during inpatient care for monitoring and treatment of severe pre-eclampsia.
Detailed notes on patient assessment, treatment plans, and response to interventions.
Obstetricians must document the severity and management of the condition thoroughly.
Key features include significantly elevated blood pressure (≥160/110 mmHg), proteinuria, and symptoms such as severe headaches, visual disturbances, and abdominal pain. HELLP syndrome may also be present.
