Excessive weight gain in pregnancy, first trimester
ICD-10 O26.01 is a billable code used to indicate a diagnosis of excessive weight gain in pregnancy, first trimester.
Excessive weight gain in pregnancy during the first trimester is a condition where a pregnant woman gains more weight than is considered healthy for her pre-pregnancy body mass index (BMI). This condition can lead to various complications, including gestational diabetes, hypertension, and increased risk of cesarean delivery. It is essential for healthcare providers to monitor weight gain closely, especially in the first trimester, as this is a critical period for fetal development. Factors contributing to excessive weight gain may include pre-existing obesity, dietary habits, and lack of physical activity. Maternal care should focus on nutritional counseling, lifestyle modifications, and regular monitoring to mitigate risks associated with excessive weight gain. Additionally, conditions such as renal, cardiac, and respiratory issues can complicate pregnancy and may necessitate a multidisciplinary approach to care, ensuring that both maternal and fetal health are prioritized.
Documentation should include pre-pregnancy weight, BMI, weight gain at each visit, and any counseling provided.
A patient with a history of obesity presenting for her first prenatal visit, requiring weight management strategies.
Consideration of comorbidities such as hypertension or diabetes that may be exacerbated by excessive weight gain.
Detailed documentation of maternal and fetal assessments, including any complications arising from excessive weight gain.
A high-risk pregnancy where excessive weight gain is noted, necessitating a referral to a maternal-fetal specialist.
Focus on the impact of excessive weight gain on fetal development and maternal health, requiring close monitoring.
Used for routine prenatal visits where weight gain is monitored.
Documentation of weight, BMI, and counseling provided.
Obstetricians should ensure that all relevant weight management discussions are documented.
Excessive weight gain is defined as gaining more than the recommended amount based on pre-pregnancy BMI. For example, women with a normal BMI should gain between 25-35 pounds during pregnancy, while those with a BMI of 30 or higher should gain less.
