(assisted) (buttocks) (complete) (frank) (spontaneous) 652.2 brow presentation 652.4 cephalopelvic disproportion (normally formed fetus) 653.4 cerebral hemorrhage 674.0 cervical dystocia 661.2 chin presentation 652.4 cicatrix coagulation defect 649.3 [icd9data.com]

Pathophysiology boxes present an illustrated overview of disorders. Updated drug guides summarize key medication information. NEW! [books.google.com]

Breech Presentations. Breech presentation occurs in 3% of all deliveries. In a complete breech, the buttocks present, with the knees bent and the feet next to the buttocks. [what-when-how.com]

Last October hospitals began reporting secondary diagnoses that were present on admission (POA). These indicators are reported as Y, present on admission; N, not present on admission; U, unknown; or W, clinically undetermined. [library.ahima.org]

• Crying

  Some us need to cry, some of us need to rage, some of us need to laugh and laugh and laugh some more. [herbadmother.com]

  I was almost crying but I was in too much agony to actually cry so instead I just yelled complaints and comments about how much the contractions hurt and how much I didn't want to be doing this. [tierneycyanne.com]

  NOTE: The infant may cry or breathe spontaneously or with the clamping of the cord. Figure 3-1. Managing precipitate delivery (completed). (4) If the infant does not begin spontaneous respiration, he should be stimulated to breathe. [brooksidepress.org]

  Be ready to laugh and cry in the same moment during and after a birth. You may laugh at the silly things you said, or cry that your much loved ob/gyn wasn’t there to see your precious bundle in to the world. [babygaga.com]

• Nightmare

  Shoulder dystocia: an evidence-based evaluation of the obstetric nightmare. Clin Obstet Gynecol. 2002;45(2):345–62. CrossRef PubMed Google Scholar 33. Youssef R, Ramalingam U, Macleod M, et al. [link.springer.com]

  Weeks, months and years later I had nightmares for weeks afterwards, re-living every painful and panic stricken moment. PTSD is a more accurate diagnosis. [runningintriangles.com]

  I am now 17 weeks pregnant with my second and absolutely petrified of going into labour-I've been having nightmares. It's well documented that second births are generally much quicker! [mumsnet.com]

  I am a normal sized healthy active 28 year old. (126lbs before pregnancy 5ft 6") I had flashbacks and nightmares for months. I wouldn't have sex with my husband for six months because I was so terrified I could get pregnant. [wisegeekhealth.com]

• Collapse

  Term Interventions: Amniotic Fluid Embolism Definition Large bore IV CPR Prepare for C-section Administer blood Term Complications of Amniotic Fluid Embolism Definition Sudden onset respiratory distress Acute hemorrhage Circulatory collapse Hemorrhagic [flashcardmachine.com]

  Diagnosis ICD-9-CM Diagnosis Code 1 Hypopotassemia 276.8 2 Anemia, unspecified 285.9 3 Acute hemorrhagic anemia 285.1 4 Urinary tract infection, site not specified 599.0 5 Acute renal failure, unspecified 584.9 6 Acute respiratory failure 518.81 7 Pulmonary collapse [library.ahima.org]

  In rare instances, this quick passage may result in pneumothorax, where a lung collapses. [wisegeekhealth.com]

• Fever

  The hospital physicians believed that the high fever stimulated the prostaglandin mechanism which initiated uterine contractions which caused the C-section scarred uterus to rupture. [popline.org]

  659.5 embolism (pulmonary) 673.2 entanglement, umbilical cord 663.3 eversion, cervix or uterus 665.2 excessive face presentation 652.4 failure, fetal head to enter pelvic brim 652.5 female genital mutilation 660.8 fetal fetopelvic disproportion 653.4 fever [icd9data.com]

  […] admissions in the absence of any other of the major morbidities (aOR: 1.53). [6] These results were again confirmed by another study, which established that prolonged first stage of labor lead to increased risks of a prolonged second stage, maternal fever [emedicine.medscape.com]

• Severe Pain

  Mom will complain of severe back pain Term Positions of Laboring Woman Definition Maternal position alters relationship b/w uterine contractions, fetus, and mom's pelvis Term Definition Hormones and neurotransmitters released In response to: Stress, severe [flashcardmachine.com]

• Sneezing

  But her friends might have: They like to joke that Gorgens "could sneeze and a baby would pop out." [fitpregnancy.com]

  I couldn't tell when I needed to pee until six months later and still, I can't hold my urine if I sneeze, cough, laugh or move certain ways. Yep, 28 years old and I wet my pants. [wisegeekhealth.com]

• Cough

  Page 42 - Change in bowel or bladder habits • A sore that does not heal • Unusual bleeding or discharge • Thickening or lump in breast or elsewhere • Indigestion or difficulty in swallowing • Obvious change in wart or mole • Nagging cough or hoarseness [books.google.com]

  I couldn't tell when I needed to pee until six months later and still, I can't hold my urine if I sneeze, cough, laugh or move certain ways. Yep, 28 years old and I wet my pants. [wisegeekhealth.com]

• Pleural Effusion

  After 24 hours she was shifted to the ward and monitored closely when she developed mild right lung atelectasis and pleural effusion which was managed conservatively. She was discharged after four days. [casereports.in]

• Abdominal Pain

  She delivered at home 20 minutes after a sudden attack of severe sharp lower abdominal pain and vaginal bleeding. [popline.org]

  The diagnosis of placental abruption is even more likely if there is associated lower abdominal pain, backache or vaginal bleeding. [clinicalgate.com]

  Signs of a uterine rupture include : an abnormal heart rate in the baby abdominal pain and scar tenderness in the mother slow progress in labor vaginal bleeding rapid heart rate and low blood pressure in the mother Appropriate care and monitoring can [medicalnewstoday.com]

• Choking

  She did have fluid in her lungs and would start choking in the middle of the night, which was terrifying. When I asked my doctor about it, he said she didn't come through the canal slow enough to squeeze all the fluid out of her lungs. [wisegeekhealth.com]

  I had to stop talking entirely when I had a contraction, and even when I wasn't contracting my voice was choked sounding, like I was about to break into tears. [tierneycyanne.com]

• Heart Murmur

  I have a severe disc problem now in my back and was also diagnosed with a heart murmur recently and I am terrified to get an epidural, but I know I cannot have another precipitous labor with no pain relief, it is too horrendous. [wisegeekhealth.com]

• Back Pain

  I had no early labor, I went in at the first sign of pain (Which was back pain and felt more like extreme constipation) by the time we arrived at the hospital (which was 5 minutes away) the "contractions" were overlapping so therefore it was constant [circleofmoms.com]

  Term Definition Shortened length = preterm labor Term Definition Uterine contractions ( Lower abdominal cramps (maybe w/ diarrhea) Dull, intermittent low back pain Menstrual-like cramps Pelvic pressure or heaviness Urinary frequency ROM Spotting Term [flashcardmachine.com]

• Suggestibility

  Your physician or midwife may suggest prescribing medication to help you sleep, which can cause the contractions to become stronger and your labor to progress. [babies.sutterhealth.org]

  Contractions with a frequency of more than one every 2 min are highly suggestive of this problem and these frequent contractions may increase the distress of a fetus already compromised by partial placental separation. [clinicalgate.com]

  Once labor starts, comfort measures and constant monitoring are suggested by obstetricians, but in some cases, labor may be going so quickly that even with constant monitoring complications may arise. [lori-lynnescodingcoachblog.blogspot.com]

  Meantime, these suggestions may help: Review in your mind all the steps you need to take to handle precip. deliveries. [allnurses.com]

  Most published reports suggest that fast labor generally has a physical basis. [justmommies.com]

• Fear

  Rationale: Reduces anxiety, fosters positive coping and cooperation, and reduces fear associated with the unknown. 5. Support appropriate coping/relaxation techniques. [freenursingcareplan.blogspot.com]

  Fast labor needs special handling If you find yourself experiencing the rushes and waves of labor contractions in a fast labor, it’s important to stay in control of your fears. The biggest fear may be the fear of the unknown. [justmommies.com]

  Provide ongoing information Reduces anxiety, fosters positive coping and reg ard in g lab or pr og res s and an tic ipa ted de liv er y. coo per ati on, an d red uce s fear as soc iat ed wit h the unknown. [scribd.com]

  Fear of being alone Many partners have missed the birth of their babies thanks to precipitous labors. [runningintriangles.com]

  You may feel fear already, in anticipation of what your delivery will be like next time. You may have comments from others, “You don’t know how lucky you are to have had such a short labor!” [babygaga.com]

• Distractibility

  Rationale: Reduces distractions/discomfort, allowing client to focus attention. May reduce “contagious” anxiety of onlookers in out-of-hospital delivery and support modesty. 3. [freenursingcareplan.blogspot.com]

  Provide a quiet environment and privacy within Reduces distractions /discomfort, allowing client parameters of the situation. Position client for to focus attention. [scribd.com]

• Dropping Things

  If your husband isn’t at home when you go into labor, have your back up informed such as a neighbor or friend ready to drop things instantly to help you. Ensure your children have places to go if they’re not coming with you. [mynaturalbabybirth.com]

• Regular Uterine Contractions

  It may be divided into three stages: The first stage ( dilatation ) begins with the onset of regular uterine contractions and ends when the cervical os is completely dilated and flush with the vagina, thus completing the birth canal. [medical-dictionary.thefreedictionary.com]

  […] at 20-37 weeks of GA Effacement ≥ 80% Cervical dilation ≥ 2 cm Regular uterine contractions Term Definition Birth that occurs before the completion of 37 weeks GA Very preterm birth: Later preterm/ near term: 33-37 weeks Term Risk Factors for Preterm [flashcardmachine.com]

• Atelectasis

  CM Diagnosis Code 1 Hypopotassemia 276.8 2 Anemia, unspecified 285.9 3 Acute hemorrhagic anemia 285.1 4 Urinary tract infection, site not specified 599.0 5 Acute renal failure, unspecified 584.9 6 Acute respiratory failure 518.81 7 Pulmonary collapse/atelectasis [library.ahima.org]

  After 24 hours she was shifted to the ward and monitored closely when she developed mild right lung atelectasis and pleural effusion which was managed conservatively. She was discharged after four days. [casereports.in]

• Pleural Effusion

  After 24 hours she was shifted to the ward and monitored closely when she developed mild right lung atelectasis and pleural effusion which was managed conservatively. She was discharged after four days. [casereports.in]

Independent risk factors for precipitate labor, using a backward, stepwise multivariate analysis were: placental abruption (odds ratio (OR) = 30.9, 95% confidence interval (CI) 15.9-60.4, P < 0.001); fertility treatments (OR = 3.9, 95% CI 1.7-9.0, P = [ncbi.nlm.nih.gov]

This article will look at ten of the problems that can occur, why they happen, the treatment available, and some measures that can help prevent them. 1. [medicalnewstoday.com]

So they started her on another course of chloroquine treatment. They discharged her on day 25. [popline.org]

Rodríguez-Wong U, Cruz-Reyes JM, Santamaría-Aguirre JR, García-Alvarez J (2009) Postobstetricrectovaginal fistula: surgical treatment using endorectal advancement flap. Cir Cir 77: 201-205. [omicsonline.org]

Treatment may include diagnostic ultrasound and fetal maturity studies, the use of forceps for the head, or cesarean delivery. Nursing care is the same as for any woman in labor. [what-when-how.com]

Conclusion : This case-study also highlights the importance of quality of care as one of the determinants of phase III delay affecting the prognosis and outcomes while caring for near misses in obstetrics. [casereports.in]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

114 Fetal anatomy in the first trimester of pregnancy 1199 Intrauterine growth 1213 Chapter 115 Fetal growth characteristics 1215 Chapter 116 Regulating factors 1218 Chapter 117 Dynamics of fetal growth 1229 concepts and epidemiology 1238 Chapter 119 Etiology [books.google.com]

The most common etiology of primary PPH is uterine atony, followed by genital tract trauma. [casereports.in]

Hypotonic Inertia:• Definition: Weak, infrequent and ineffective uterine contractions• Etiology: Not known but the following factors may be associated:• 1. General factors:• Primigravida especially elderly.• Anemia, chronic illness. [slideshare.net]

1247 Chapter 120 Classification of intrauterine growth restriction 1270 Chapter 121 Natural history of fetal compromise in itnrauterine growth retardation 1279 antenatal and intrapartum strategies 1296 characteristics and management 1313 concept and epidemiology [books.google.com]

Epidemiology of postpartum haemorrhage: a systematic review. Best Pract Res Clin Obstet Gynaecol 2008; 22: 999-1012. [ Links ] 9. Rath WH. Postpartum hemorrhage--update on problems of definitions and diagnosis. [scielo.isciii.es]

Pathophysiology boxes present an illustrated overview of disorders. Updated drug guides summarize key medication information. NEW! [books.google.com]

Thank you Becky it is a wonderful site; it gives clearly what the code should and how to report at their maximum Well the terminology part of it and the pathophysiological occurrence of it is this way: "Precipitate Labor" Any culminating labor which has [aapc.com]

[…] findings: As labor is progressing quickly, assessment may need to be done rapidly Client may have history of previous precipitous labor and delivery Desire to push Observe status of membranes, perineal area for bulging and for signs of bleeding Slide 3: Pathophysiology [authorstream.com]

(Please refer to the Pathophysiology for information regarding adequate contractions.) Abnormal labor constitutes any findings that fall outside the accepted normal labor curve. [emedicine.medscape.com]

[…] of very early premature birth 1401 Chapter 132 Operative early total cervix occlusion for prevention of late abortion and early prematurity 1412 Chapter 133 Assessment of risk for preterm brith in asymptomatic patients and those with preterm labor 1417 [books.google.com]

Instruct the pt. to assume Sim’s lateral position; this would help to slow her labor down and help prevent lacerations. Encourage pt. to pant at this time to prevent bearing down. Anxiety r/t process and stress of labor and birth. [authorstream.com]

Encourage the mother to void to prevent bladder distention. h. [brooksidepress.org]