Unspecified pre-eclampsia, complicating the puerperium
ICD-10 O14.95 is a billable code used to indicate a diagnosis of unspecified pre-eclampsia, complicating the puerperium.
Unspecified pre-eclampsia is a hypertensive disorder that can occur during pregnancy and may persist into the puerperium, which is the period following childbirth. This condition is characterized by elevated blood pressure and proteinuria, and it can lead to serious complications for both the mother and the newborn. In the puerperium, pre-eclampsia can manifest as persistent hypertension and may require careful monitoring and management. Severe features of pre-eclampsia include symptoms such as severe headaches, visual disturbances, and upper abdominal pain, which may necessitate the use of magnesium sulfate for seizure prophylaxis. HELLP syndrome, a severe form of pre-eclampsia, can also complicate the puerperium, leading to liver dysfunction and hematological abnormalities. Proper management during this period is crucial to prevent maternal morbidity and ensure a safe recovery. Documentation must reflect the severity of the condition, treatment protocols, and any complications that arise during the puerperium.
Detailed records of blood pressure, proteinuria, and symptoms must be maintained.
Management of a postpartum patient with persistent hypertension and proteinuria.
Consideration of the patient's history of pre-eclampsia in future pregnancies.
Comprehensive documentation of maternal and fetal monitoring during high-risk pregnancies.
Management of a patient with HELLP syndrome during the puerperium.
Coordination of care between obstetricians and maternal-fetal specialists.
Used for follow-up visits for patients with pre-eclampsia in the hospital.
Document the patient's clinical status, treatment response, and any complications.
Obstetricians should ensure that the visit is clearly linked to the management of pre-eclampsia.
Pre-eclampsia is characterized by hypertension and proteinuria, while gestational hypertension involves elevated blood pressure without proteinuria. Accurate documentation is essential to differentiate between these conditions.
