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Perinatal asphyxia happens in 2 to 10 per 1000 newborns that are born at term, and more for those that are born prematurely. [1] WHO estimates that 4 million neonatal deaths occur yearly due to birth asphyxia, representing 38% of deaths of children under 5 years of age.
[48] [49] There are over 70,000 ICD-10-PCS procedure codes and over 69,000 ICD-10-CM diagnosis codes, compared to about 3,800 procedure codes and roughly 14,000 diagnosis codes found in the previous ICD-9-CM. [7] There was much controversy when the transition from the ICD-9-CM to the ICD-10-CM was first announced in the US.
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]
Generally, diseases outlined within the ICD-10 codes O20-O29 within Chapter XV: Pregnancy, childbirth and the puerperium should be included in this category. Pages in category "Maternal disorders predominantly related to pregnancy"
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.
Indirect causes include malaria, anemia, [26] HIV/AIDS, and cardiovascular disease, all of which may complicate pregnancy or be aggravated by it. [27] Risk factors associated with increased maternal death include the age of the mother, obesity before becoming pregnant, other pre-existing chronic medical conditions, and cesarean delivery. [28] [29]
There has long been a scientific debate over whether newborn infants with asphyxia should be resuscitated with 100% oxygen or normal air. [17] It has been demonstrated that high concentrations of oxygen lead to generation of oxygen free radicals , which have a role in reperfusion injury after asphyxia. [ 18 ]
[51]: 274 Counseling regarding risks of recurrence should be discussed with patients who have these risk factors, and may include the potential side effects to the fetus associated with certain psychiatric medications, the frequency of episode recurrence, and the risks and benefits of various treatments during pregnancy and breast-feeding. [80]