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Incomplete Spontaneous Abortion

Abortion Incomplete


Presentation

  • This article presents three cases of teens managed under this new protocol.[ncbi.nlm.nih.gov]
  • Present on Admission symbol identifies the diseases that will always be coded as present on admission. Hospital Acquired Condition symbol notes specific conditions that will always be coded as hospital acquired. UNIQUE![books.google.de]
  • Two patients presented with anaemia. In the misoprostol group, 23 patients had vaginal bleeding, and 10 persistence of incomplete abortion.[southsudanmedicaljournal.com]
  • Clinically the patients present with severe pelvic pain. Neilson and Hahlin (1995) (1): Randomized prospective trial of 103 women with retained products of conception (RPOC) measuring 15-50 mm. 71% success rate in expectant management.[fetalultrasound.com]
Prolonged Bleeding
  • Clinical signs: Prolonged bleeding. Infection.[fetalultrasound.com]
  • If you have prolonged bleeding, too much bleeding (much more than a regular menstrual period), pain in your belly that does not go away after a few days of taking the Misoprostol, pain that is unbearable, fever, continued bleeding after three weeks, or[womenonweb.org]
  • Your health care provider should give you specific instructions on what to expect, but contact them as soon as possible if you experience any of the following: Dizziness or fainting Prolonged bleeding (over 2 weeks) Prolonged cramping (over 2 weeks) Bleeding[americanpregnancy.org]
Sepsis
  • The ICD 10 Code for Sepsis following incomplete spontaneous abortion is listed as O03.37.[emedcodes.com]
  • […] incomplete spontaneous abortion O03.34 Damage to pelvic organs following incomplete spontaneous abortion O03.35 Other venous complications following incomplete spontaneous abortion O03.36 Cardiac arrest following incomplete spontaneous abortion O03.37 Sepsis[healthprovidersdata.com]
  • […] abortion Parametritis following incomplete spontaneous abortion Pelvic peritonitis following incomplete spontaneous abortion Salpingitis following incomplete spontaneous abortion Salpingo-oophoritis following incomplete spontaneous abortion excludes: sepsis[codelay.com]
  • PAC includes services for early recognition and management of abortion-related complications, such as hemorrhage and sepsis, and post-abortion counseling, including contraceptive services or referral.[k4health.org]
  • […] abortion Laceration, perforation, tear or chemical damage of vagina following incomplete spontaneous abortion O03.35 Other venous complications following incomplete spontaneous abortion O03.36 Cardiac arrest following incomplete spontaneous abortion O03.37 Sepsis[icd10coded.com]
Burkina Faso
  • Pohjoranta E, Suhonen S, Mentula M, Heikinheimo O Estimating the costs for the treatment of abortion complications in two public referral hospitals: a cross-sectional study in Ouagadougou, Burkina Faso.[medicbind.com]
Abdominal Pain
  • Factors that may contribute to miscarriage include A genetic problem with the fetus Problems with the uterus or cervix Chronic diseases, such as polycystic ovary syndrome Signs of a miscarriage include vaginal spotting, abdominal pain or cramping, and[icdlist.com]
  • Incomplete Abortion An incomplete abortion is often accompanied by heavy vaginal bleeding and intense abdominal pain.[fertilityauthority.com]
  • Clinical Features [ edit ] History: Heavy Bleeding getting worse Severe colicky abdominal pain Products of conception may have passed Examination: Cervix is open Products of conception may be passing through the os Management [ edit ] Medical IV infusion[en.wikiversity.org]
  • All patients who received misoprostol complained of abdominal pain. A few patients in the misoprostol group reported having fever n 12(7.8%) or vomiting n 5 (3.2%).[southsudanmedicaljournal.com]
  • These contribute in the second trimester. polycystic ovary syndrome signs of a miscarriage can include vaginal spotting or bleeding, abdominal pain or cramping, and fluid or tissue passing from the vagina.[icd10data.com]
Behavior Disorder
  • .- ) Type 2 Excludes mental and behavioral disorders associated with the puerperium ( F53.- ) obstetrical tetanus ( A34 ) postpartum necrosis of pituitary gland ( E23.0 ) puerperal osteomalacia ( M83.0 ) Use Additional code from category Z3A, Weeks of[icd10data.com]
Salpingitis
  • […] spontaneous abortion Inclusion: Endometritis following incomplete spontaneous abortion Oophoritis following incomplete spontaneous abortion Parametritis following incomplete spontaneous abortion Pelvic peritonitis following incomplete spontaneous abortion Salpingitis[codelay.com]
  • […] abortion Inclusion term(s): Endometritis following incomplete spontaneous abortion Oophoritis following incomplete spontaneous abortion Parametritis following incomplete spontaneous abortion Pelvic peritonitis following incomplete spontaneous abortion Salpingitis[icd10coded.com]
Uremia
  • Inclusion term(s): Kidney failure (acute) following incomplete spontaneous abortion Oliguria following incomplete spontaneous abortion Renal shutdown following incomplete spontaneous abortion Renal tubular necrosis following incomplete spontaneous abortion Uremia[icd10coded.com]
  • Inclusion: Kidney failure (acute) following incomplete spontaneous abortion Oliguria following incomplete spontaneous abortion Renal shutdown following incomplete spontaneous abortion Renal tubular necrosis following incomplete spontaneous abortion Uremia[codelay.com]
Oliguria
  • […] following incomplete spontaneous abortion Shock (postprocedural) following incomplete spontaneous abortion O03.32 Renal failure following incomplete spontaneous abortion Inclusion term(s): Kidney failure (acute) following incomplete spontaneous abortion Oliguria[icd10coded.com]
  • […] incomplete spontaneous abortion excludes: shock due to infection following incomplete spontaneous abortion (O03.37) O03.32 Renal failure following incomplete spontaneous abortion Inclusion: Kidney failure (acute) following incomplete spontaneous abortion Oliguria[codelay.com]
Kidney Failure
  • […] spontaneous abortion Inclusion term(s): Circulatory collapse following incomplete spontaneous abortion Shock (postprocedural) following incomplete spontaneous abortion O03.32 Renal failure following incomplete spontaneous abortion Inclusion term(s): Kidney[icd10coded.com]
  • failure (acute) following incomplete spontaneous abortion Oliguria following incomplete spontaneous abortion Renal shutdown following incomplete spontaneous abortion Renal tubular necrosis following incomplete spontaneous abortion Uremia following incomplete[codelay.com]

Workup

  • Procedures When the diagnosis is unclear, the following procedures may be performed: Culdocentesis Diagnostic dilation and curettage See Workup for more detail.[reference.medscape.com]

Treatment

  • No significant difference existed between the case and control populations regarding choice of treatment (P .566).[ncbi.nlm.nih.gov]
  • Code 59812 notes “treatment,” which is helpful to coders, as we are not limited to what the actual surgical treatment may be. This treatment could be either a dilation and curettage or a dilation and evacuation.[blr.hcpro.com]
  • In all, 3,139 women were admitted for incomplete abortion during the study period; 630 required no further treatment. Of the remaining 2,509 women, 21% chose treatment with misoprostol.[guttmacher.org]

Prognosis

  • There are many variables to consider when determining the prognosis after a spontaneous abortion.[zocdoc.com]
  • Treatment and prognosis These can be managed medically (e.g. misoprostol treatment) or surgically (e.g. dilatation and curettage).[radiopaedia.org]
  • Prognosis can be assessed with further ultrasound scans.[en.wikiversity.org]
  • Prognosis The prognosis for a successful pregnancy depends upon the etiology of previous spontaneous miscarriages, the age of the patient, and the sonographic appearance of the gestation.[emedicine.medscape.com]
  • Prognosis Your chances of having another miscarriage depend on the cause of your first miscarriage.[drugs.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Manifestation code symbol spotlights certain conditions for which it is important to record the etiology (cause) and the manifestation (symptom) of the disease.[books.google.de]
  • In women with an unknown etiology of prior pregnancy loss, the probability of achieving successful pregnancies is 40-80%.[emedicine.medscape.com]
  • Etiologically, different factors can play a role, e.g., genetic changes in the sense of chromosome aberrations. Mostly, those are balanced translocations.[lecturio.com]

Epidemiology

  • Stirrat GM(1990)Recurrent miscarriage I: Definition and epidemiology. Lancet 336:673-675. 51.Szulman AE, Surti U(1978) The syndromes of hydatidiform mole.[dr-philipp.at]
  • Epidemiology Prevalence : First Trimester Bleeding in 25% of pregnant women III.[fpnotebook.com]
  • Keywords: Abortion, Provoked abortion, Epidemiology, Adolescent, Anatomical pathological, uterine curettage.[scribd.com]
  • Epidemiology Miscarriage accounts for 42,000 hospital admissions in the UK annually [ 1 ].[patient.info]
  • Most studies do not differentiate separately between the epidemiology and pathophysiology of each entity.[reference.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • ) A randomized study of thromboprophylaxis in women with unexplained consecutive recurrent abortions. (2006-02) Anticoagulants for the treatment of recurrent pregnancy loss in women without antiphospholipid syndrome. (2005-01) Recurrent miscarriage: pathophysiology[2womenshealth.com]
  • Pathophysiology The pathophysiology of a spontaneous miscarriage may be suggested by its timing. Chromosomal defects are commonly seen in spontaneous miscarriages, especially those that occur during 4-8 weeks' gestation.[emedicine.medscape.com]
  • […] with an increased risk of miscarriage are bacterial vaginosis, mycoplasma, herpes simplex virus, toxoplasmosis, listeriosis, chlamydia, human immunodeficiency virus, syphilis, parvovirus B19, malaria, gonorrhea, rubella, cytomegalovirus. return to top Pathophysiology[sharinginhealth.com]
  • Most studies do not differentiate separately between the epidemiology and pathophysiology of each entity.[reference.medscape.com]

Prevention

  • Many of these deaths could be prevented if women could avoid unwanted pregnancies and had access to safe abortion services, including post-abortion care (PAC).[k4health.org]
  • Incomplete abortion requires medical intervention or at least close follow up with a physician to prevent bleeding or infection due to the retained tissue.[zocdoc.com]
  • If all pregnancy-related tissue wasn't expelled, a condition known as an incomplete miscarriage, you may need treatment to stop the bleeding and prevent infection.[webmd.com]
  • In most cases a miscarriage is a natural event that could not have been prevented.[northshore.org]

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