Malnutrition in pregnancy, childbirth and the puerperium
Chapter 15:Pregnancy, childbirth and the puerperium
ICD-10 O25 is a billable code used to indicate a diagnosis of malnutrition in pregnancy, childbirth and the puerperium.
Malnutrition during pregnancy, childbirth, and the puerperium can significantly impact maternal and fetal health. It encompasses a range of nutritional deficiencies, including undernutrition and overnutrition, which can lead to adverse outcomes such as low birth weight, preterm birth, and developmental issues in the infant. Malnutrition may arise from various factors, including socioeconomic status, eating disorders (such as anorexia nervosa or bulimia), and inadequate access to nutritious food. Pregnant women with eating disorders may experience severe malnutrition, which can complicate their pregnancy and increase the risk of complications during childbirth. Nutritional counseling is essential for these patients to ensure they receive adequate nutrients to support both their health and the health of their developing fetus. Healthcare providers must assess dietary intake, provide education on healthy eating habits, and monitor weight gain throughout pregnancy to mitigate risks associated with malnutrition.
Detailed records of dietary intake, nutritional assessments, and counseling sessions are essential for accurate coding.
Pregnant women presenting with weight loss, inadequate weight gain, or symptoms of eating disorders.
Consideration of cultural dietary practices and their impact on nutritional status.
Thorough documentation of high-risk factors, including pre-existing eating disorders and their management during pregnancy.
Management of pregnancies complicated by severe malnutrition or eating disorders requiring multidisciplinary care.
Close monitoring of fetal growth and development, as well as maternal health status.
Used when a pregnant patient requires dietary counseling due to malnutrition.
Document the patient's nutritional assessment and the plan developed during the session.
Obstetricians should collaborate with dietitians for comprehensive care.
Signs of malnutrition can include significant weight loss, fatigue, weakness, and nutrient deficiencies. Healthcare providers should assess dietary intake and monitor weight gain throughout pregnancy.
