Excessive weight gain in pregnancy, unspecified trimester
ICD-10 O26.00 is a billable code used to indicate a diagnosis of excessive weight gain in pregnancy, unspecified trimester.
Excessive weight gain during pregnancy is a condition that can complicate maternal and fetal health. It is defined as weight gain that exceeds the recommended guidelines set forth by the Institute of Medicine (IOM), which vary 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. Maternal care for patients with excessive weight gain requires careful monitoring and management, particularly in the context of other complicating conditions such as renal, cardiac, and respiratory issues. For instance, women with pre-existing cardiac conditions may experience exacerbated symptoms due to excessive weight gain, necessitating a multidisciplinary approach to care. Additionally, renal complications can arise from fluid retention associated with excessive weight gain, while respiratory issues may be aggravated by increased abdominal pressure. Therefore, it is crucial for healthcare providers to assess and document the extent of weight gain and its implications on the overall health of both mother and fetus throughout the pregnancy.
Detailed records of weight gain, maternal health assessments, and any complications.
Routine prenatal visits where weight gain is monitored, and discussions about diet and exercise are held.
Consideration of cultural factors influencing weight gain and dietary habits.
Comprehensive documentation of high-risk factors, including pre-existing conditions and their management.
Management of pregnancies complicated by obesity, gestational diabetes, or hypertension.
Close monitoring of fetal growth and maternal health status.
Used for comprehensive obstetric care in patients with excessive weight gain.
Complete records of prenatal visits, weight monitoring, and management plans.
Obstetricians should document any complications arising from excessive weight gain.
Excessive weight gain is defined as weight gain that exceeds the recommendations set by the Institute of Medicine, which vary based on the mother's 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.
