Presentation
(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]
Entire Body System
- High 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]
Gastrointestinal
- 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]
Musculoskeletal
- 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]
Neurologic
- High Pain Threshold
CLIENT ASSESSMENT DATA BASE Ego Integrity Irritability Food/Fluid Nausea/vomiting Pain/Discomfort May have an unusually high pain threshold or not be aware of abdominal contractions Possible absence of palpable contractions, as occurs with maternal obesity [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]
Urogenital
- 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]
Workup
Microbiology
- Plasmodium Falciparum
A case of Plasmodium falciparum malaria is reported in a 25-year-old pregnant woman with a history of three previous cesarean sections. [ncbi.nlm.nih.gov]
The physicians diagnosed Plasmodium falciparum malaria and began administering chloroquine. They later referred the lethargic and pale woman to the King Faisal Specialist Hospital in Riyadh. [popline.org]
Colonoscopy
- Polyps
[…] prolapse of umbilical cord 663.0 oversize fetus 653.5 pathological retraction ring, uterus 661.4 pelvic penetration, pregnant uterus by instrument 665.1 perforation - see Delivery, complicated, laceration persistent placenta, placental polyhydramnios 657 polyp [icd9data.com]
Treatment
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]
Prognosis
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]
Etiology
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]
Epidemiology
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]
Pathophysiology
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]
Prevention
[…] 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]