Eclampsia complicating the puerperium
ICD-10 O15.2 is a billable code used to indicate a diagnosis of eclampsia complicating the puerperium.
Eclampsia is a severe complication of pregnancy characterized by the onset of seizures in a woman with preeclampsia, typically occurring after the 20th week of gestation or during the puerperium. The puerperium refers to the period following childbirth, during which the mother's body undergoes physiological changes to return to a non-pregnant state. Eclampsia can lead to significant maternal morbidity and mortality due to complications such as cerebral hemorrhage, renal failure, and placental abruption. Management of eclampsia involves immediate stabilization of the patient, seizure control with medications such as magnesium sulfate, and often necessitates emergency delivery of the fetus to prevent further maternal and fetal complications. Neurologic complications may arise, including persistent seizures, stroke, or long-term cognitive impairment. Accurate diagnosis and timely intervention are critical to improving outcomes for both mother and child.
Detailed records of maternal vitals, seizure activity, and interventions performed during labor and delivery.
Management of a patient presenting with seizures during labor or immediately postpartum.
Ensure accurate documentation of the patient's history of hypertension and any prior episodes of preeclampsia.
Comprehensive documentation of maternal-fetal assessments, including fetal monitoring and maternal response to treatment.
High-risk pregnancies with a history of eclampsia requiring close monitoring and potential intervention.
Consideration of multidisciplinary approaches to manage both maternal and fetal health.
Used in high-risk pregnancies to assess fetal well-being.
Document indications for amniocentesis and results.
Maternal-fetal medicine specialists should ensure thorough documentation of risks and benefits.
Preeclampsia is characterized by hypertension and proteinuria during pregnancy, while eclampsia is the occurrence of seizures in a patient with preeclampsia. Eclampsia is a more severe condition requiring immediate medical intervention.
