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14.7 - Complications of Puerperium 2024
14.7 - Complications of Puerperium 2024
• Postpartum Hemorrhage
Increased bleeding following delivery
Classification is based on cause:
Uterine atony
Retained placental tissue
Coagulation defects in the mother
Hemorrhage
-complicating
--delivery
---due to
---trauma O67.8
Complications of Puerperium
Retention
-placenta (total) (with hemorrhage) O72.0
--portions or fragments (with hemorrhage) O72.2
Retained, trapped or During the 3rd stage of labour O72.0 – Third stage hemorrhage
adherent placenta
with excessive O72.2 – Delayed and secondary
Any time other than during 3rd postpartum hemorrhage
bleeding stage of labour
Uterine atony or During the first 24 hours O72.1 – Other immediate
unknown/not following delivery postpartum hemorrhage
documented (i.e. PPH
NOS), regardless Between 24 hours and 6 weeks O72.2 – Delayed and secondary
amount of blood loss following delivery postpartum hemorrhage
recorded
Complications of Puerperium
Diagnosis
PPH Codes
Type
• Applies to PPH if it is the only obstetrical condition
M recorded
• Not necessary to repeat as type 2 if MRDx
• Note: O-codes that are significant prior to or during the delivery of the
infant is a type 1 diagnosis.
Complications of Puerperium
• Management of PPH
• Classified to 5.PC.91. ^^ Interventions to uterus (following
delivery or abortion)
• Code all the interventions at this rubric that apply
5.PC.91.^^ Description of intervention
GA • Dilation & curettage (D&C)
LA • Suturing of uterus
• Includes: B-Lynch suture (for postpartum hemorrhage)
• Postpartum infection:
Most common puerperal complications
Postpartum endometritis
O85.- Puerperal sepsis
• Venous complications:
Deep vein thrombophlebitis and hemorrhoids
• O87.- Venous complications in the puerperium
Other Complications of Puerperium
Wound complications:
Wound infections – includes perineal and cesarean section
wound infections
O86.0- Other puerperal infections, infection of obstetric
surgical wound
Wound dehiscence
O90.0- Complications of the puerperium, not elsewhere
classified, disruption of caesarean section wound
O90.1- Complications of the puerperium, not elsewhere
classified, disruption of perineal obstetric wound
Other Complications of Puerperium