Excessive weight gain in pregnancy, third trimester
ICD-10 O26.03 is a billable code used to indicate a diagnosis of excessive weight gain in pregnancy, third trimester.
Excessive weight gain during the third trimester of pregnancy is a condition that can complicate maternal and fetal health. It is characterized by weight gain that exceeds the recommended guidelines based on pre-pregnancy body mass index (BMI). This condition can lead to various complications, including gestational diabetes, hypertension, and increased risk of cesarean delivery. In the third trimester, the fetus undergoes significant growth, and maternal weight gain is expected; however, excessive gain can indicate underlying issues such as poor dietary habits, lack of physical activity, or metabolic disorders. Monitoring and managing weight gain is crucial for optimizing outcomes for both mother and baby. Healthcare providers should assess weight gain regularly, provide nutritional counseling, and consider referrals to specialists if necessary. This condition is particularly relevant in the context of maternal care for patients with pre-existing conditions such as renal, cardiac, or respiratory issues, as excessive weight gain can exacerbate these conditions and lead to further complications during pregnancy.
Documentation should include pre-pregnancy BMI, weight gain progress, and any interventions or referrals made.
Patients presenting with excessive weight gain, gestational diabetes, or hypertension in the third trimester.
Consideration of the patient's overall health, including any comorbidities that may affect weight management.
Detailed documentation of high-risk factors, including renal, cardiac, or respiratory conditions, and their management.
High-risk pregnancies where excessive weight gain may exacerbate existing conditions.
Close monitoring and collaboration with other specialties to manage complex cases.
Used for follow-up visits to monitor excessive weight gain and provide counseling.
Document weight assessments, counseling provided, and any referrals made.
Obstetricians should ensure that all relevant health factors are documented.
Excessive weight gain is defined as weight gain that exceeds the recommended guidelines based on pre-pregnancy BMI. For example, women with a normal BMI should gain between 25-35 pounds, while those with a BMI of 30 or higher should gain less than 20 pounds.
