Shock following incomplete spontaneous abortion
ICD-10 O03.31 is a billable code used to indicate a diagnosis of shock following incomplete spontaneous abortion.
Shock following incomplete spontaneous abortion refers to a critical condition that arises when a woman experiences an incomplete miscarriage, leading to significant blood loss and potential hemodynamic instability. Incomplete spontaneous abortion occurs when some, but not all, of the products of conception are expelled from the uterus. This can result in retained tissue, which may cause continued bleeding and infection. The clinical presentation may include symptoms such as severe abdominal pain, heavy vaginal bleeding, and signs of shock, such as hypotension and tachycardia. Management typically involves stabilization of the patient, which may include intravenous fluid resuscitation, blood transfusions, and surgical intervention such as dilation and curettage (D&C) to remove retained products. Emotional support is crucial, as patients may experience grief and anxiety following a miscarriage. Healthcare providers should ensure that patients receive appropriate counseling and follow-up care to address both physical and emotional recovery.
Detailed documentation of the patient's history, physical examination findings, and management plan is essential. Emotional support and counseling should also be documented.
Patients presenting with heavy bleeding and abdominal pain following a known pregnancy, requiring evaluation for incomplete abortion.
Consideration of the patient's emotional state and the provision of resources for grief counseling.
Comprehensive documentation of maternal and fetal health, including any risk factors that may have contributed to the miscarriage.
High-risk patients with a history of recurrent pregnancy loss presenting with signs of incomplete abortion.
Focus on the management of complications and the need for multidisciplinary care.
Performed for management of retained products of conception following incomplete abortion.
Document indication for D&C, including clinical findings and patient consent.
Ensure that the procedure is linked to the diagnosis of incomplete abortion and shock.
Complete spontaneous abortion occurs when all products of conception are expelled from the uterus, while incomplete spontaneous abortion involves the retention of some tissue, which can lead to complications such as shock.
