Excessive weight gain in pregnancy, second trimester
ICD-10 O26.02 is a billable code used to indicate a diagnosis of excessive weight gain in pregnancy, second trimester.
Excessive weight gain during pregnancy, particularly in the second trimester, can pose significant risks to both maternal and fetal health. This condition is characterized by weight gain that exceeds the recommended guidelines based on pre-pregnancy body mass index (BMI). In the second trimester, women typically gain about 1 to 2 pounds per week, but excessive weight gain can lead to complications such as gestational diabetes, hypertension, and increased risk of cesarean delivery. It is essential for healthcare providers to monitor weight gain closely and provide counseling on nutrition and physical activity. Additionally, excessive weight gain can complicate existing maternal conditions, such as renal, cardiac, or respiratory issues, necessitating a multidisciplinary approach to care. Regular assessments and tailored interventions are crucial to mitigate risks associated with excessive weight gain during this critical period of pregnancy.
Detailed records of weight gain, maternal health assessments, and counseling provided.
Routine prenatal visits where weight gain is monitored, and counseling is provided.
Consideration of cultural factors influencing dietary habits and weight management.
Comprehensive documentation of high-risk factors, including renal, cardiac, and respiratory conditions.
Management of pregnancies complicated by pre-existing conditions requiring specialized care.
Close monitoring of maternal and fetal health, with adjustments to care plans as necessary.
Used during routine prenatal visits to monitor weight gain and provide counseling.
Document weight measurements, counseling provided, and any referrals made.
Obstetricians should ensure that all aspects of maternal health are addressed during visits.
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 during pregnancy, while those with a higher BMI may have lower recommendations.
