Maternal care for disproportion due to generally contracted pelvis
ICD-10 O33.1 is a billable code used to indicate a diagnosis of maternal care for disproportion due to generally contracted pelvis.
Maternal care for disproportion due to a generally contracted pelvis refers to the clinical scenario where the maternal pelvic dimensions are insufficient to allow for the passage of the fetus during delivery. This condition is often identified during prenatal assessments, where measurements of the pelvis may indicate a risk for cephalopelvic disproportion (CPD). CPD can lead to complications during labor, necessitating careful planning for delivery. In cases where the fetus is too large or the pelvis is too narrow, cesarean delivery may be indicated to ensure the safety of both the mother and the infant. Maternal care in this context involves close monitoring, potential referral to a maternal-fetal medicine specialist, and thorough documentation of the clinical findings and decision-making process regarding delivery methods. The management of this condition is crucial to prevent labor complications and ensure optimal outcomes for both mother and child.
Detailed records of pelvic examinations, ultrasound findings, and labor progress.
Assessment of labor progress in patients with known pelvic abnormalities.
Ensure accurate coding based on clinical findings and delivery method.
Comprehensive evaluation of high-risk factors, including maternal history and fetal assessments.
Management of pregnancies with known pelvic insufficiencies or fetal macrosomia.
Focus on multidisciplinary care and detailed documentation of decision-making processes.
Used when a cesarean delivery is planned due to CPD.
Document indications for cesarean delivery, including pelvic assessments.
Obstetricians should ensure clear communication with the surgical team regarding the patient's history.
Coding O33.1 is significant as it indicates a specific maternal condition that may impact delivery planning. Accurate coding helps in managing risks associated with cephalopelvic disproportion and ensures appropriate care is provided.
