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This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679 . The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9.
Abdominal pain, also known as a stomach ache, is a symptom associated with both non-serious and serious medical issues. Since the abdomen contains most of the body's vital organs, it can be an indicator of a wide variety of diseases.
Placental abruption is when the placenta separates early from the uterus, in other words separates before childbirth. [2] It occurs most commonly around 25 weeks of pregnancy. [2] Symptoms may include vaginal bleeding, lower abdominal pain, and dangerously low blood pressure. [1]
In a pregnant woman who is entering her second trimester, the combination of urinary difficulties and pelvic pain may alert the physician to consider uterine incarceration as a possibility. On physical examination, the cervix is pushed up and anterior, and the pelvis entirely filled by the soft mass of the body of the pregnant uterus.
Of term pregnancies (more than 37 weeks) about 8% are complicated by PROM, [10] 20% of these become prolonged PROM. [9] About 30% of all preterm deliveries (before 37 weeks) are complicated by PPROM, and rupture of membranes before viability (before 24 weeks) occurs in less than 1% of all pregnancies. [ 11 ]
A positive test indicates the increased likelihood that the abdominal wall and not the abdominal cavity is the source of the pain (for example, due to rectus sheath hematoma instead of appendicitis). [ 3 ] [ 4 ] A negative Carnett's sign is said to occur when the abdominal pain decreases when the patient is asked to lift the head; this points ...
A temperature rise above 38 °C (100.4 °F) maintained over 24 hours or recurring during the period from the end of the first to the end of the 10th day after childbirth or abortion. (ICD-10) Oral temperature of 38 °C (100.4 °F) or more on any two of the first ten days postpartum. (USJCMW) [12]
Use of aspirin before 16 weeks of pregnancy to prevent pre-eclampsia also appears effective at preventing antepartum bleeding. [ 4 ] In regard to treatment, it should be considered a medical emergency (regardless of whether there is pain ), as if it is left untreated it can lead to death of the mother or baby .