Chapter XV

Pregnancy, childbirth and the puerperium
(O00-O99)

Complications predominantly related to the puerperium
(O85-O92)


Note:	Categories O88.-, O91.- and O92.- include the listed conditions even if they occur during pregnancy and childbirth.
Excludes:	mental and behavioural disorders associated with the puerperium ( F53.- ) obstetrical tetanus ( A34 ) puerperal osteomalacia ( M83.0 )


O85		Puerperal sepsis
		Puerperal: · endometritis · fever · peritonitis · septicaemia
		Use additional code (B95-B97), if desired, to identify infectious agent.
		Excludes:	obstetric pyaemic and septic embolism ( O88.3 ) septicaemia during labour ( O75.3 )


O86		Other puerperal infections
		Use additional code (B95-B97), if desired, to identify infectious agent.
		Excludes:	infection during labour ( O75.3 )
O86.0		Infection of obstetric surgical wound
		Infected:
		· caesarean section wound · perineal repair				} }	following delivery
O86.1		Other infection of genital tract following delivery
		Cervicitis Vaginitis				} }	following delivery
O86.2		Urinary tract infection following delivery
		Conditions in N10-N12, N15.-, N30.-, N34.-, N39.0 following delivery
O86.3		Other genitourinary tract infections following delivery
		Puerperal genitourinary tract infection NOS
O86.4		Pyrexia of unknown origin following delivery
		Puerperal: · infection NOS · pyrexia NOS
		Excludes:	puerperal fever ( O85 ) pyrexia during labour ( O75.2 )
O86.8		Other specified puerperal infections


O87		Venous complications in the puerperium
		Includes:	in labour, delivery and the puerperium
		Excludes:	obstetric embolism ( O88.- ) venous complications in pregnancy ( O22.- )
O87.0		Superficial thrombophlebitis in the puerperium
O87.1		Deep phlebothrombosis in the puerperium
		Deep-vein thrombosis, postpartum Pelvic thrombophlebitis, postpartum
O87.2		Haemorrhoids in the puerperium
O87.3		Cerebral venous thrombosis in the puerperium
		Cerebrovenous sinus thrombosis in the puerperium
O87.8		Other venous complications in the puerperium
		Genital varices in the puerperium
O87.9		Venous complication in the puerperium, unspecified
		Puerperal: · phlebitis NOS · phlebopathy NOS · thrombosis NOS


O88		Obstetric embolism
		Includes:	pulmonary emboli in pregnancy, childbirth or the puerperium
		Excludes:	embolism complicating abortion or ectopic or molar pregnancy ( O00-O07 , O08.2 )
O88.0		Obstetric air embolism
O88.1		Amniotic fluid embolism
O88.2		Obstetric blood-clot embolism
		Obstetric (pulmonary) embolism NOS Puerperal (pulmonary) embolism NOS
O88.3		Obstetric pyaemic and septic embolism
O88.8		Other obstetric embolism
		Obstetric fat embolism


O89		Complications of anaesthesia during the puerperium
		Includes:	maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during the puerperium
O89.0		Pulmonary complications of anaesthesia during the puerperium
		Aspiration pneumonitis Inhalation of stomach contents or secretions NOS Mendelson's syndrome Pressure collapse of lung				} } } }	due to anaesthesia during the puerperium
O89.1		Cardiac complications of anaesthesia during the puerperium
		Cardiac:
		· arrest · failure				} }	due to anaesthesia during the puerperium
O89.2		Central nervous system complications of anaesthesia during the puerperium
		Cerebral anoxia due to anaesthesia during the puerperium
O89.3		Toxic reaction to local anaesthesia during the puerperium
O89.4		Spinal and epidural anaesthesia-induced headache during the puerperium
O89.5		Other complications of spinal and epidural anaesthesia during the puerperium
O89.6		Failed or difficult intubation during the puerperium
O89.8		Other complications of anaesthesia during the puerperium
O89.9		Complication of anaesthesia during the puerperium, unspecified


O90		Complications of the puerperium, not elsewhere classified
O90.0		Disruption of caesarean section wound
O90.1		Disruption of perineal obstetric wound
		Disruption of wound of: · episiotomy · perineal laceration Secondary perineal tear
O90.2		Haematoma of obstetric wound
O90.3		Cardiomyopathy in the puerperium
		Conditions in I42.-
O90.4		Postpartum acute renal failure
		Hepatorenal syndrome following labour and delivery
O90.5		Postpartum thyroiditis
O90.8		Other complications of the puerperium, not elsewhere classified
		Placental polyp
O90.9		Complication of the puerperium, unspecified


O91		Infections of breast associated with childbirth
		Includes:	the listed conditions during pregnancy, the puerperium or lactation
O91.0		Infection of nipple associated with childbirth
		Abscess of nipple: · gestational · puerperal
O91.1		Abscess of breast associated with childbirth
		Mammary abscess Purulent mastitis Subareolar abscess				} } }	gestational or puerperal
O91.2		Nonpurulent mastitis associated with childbirth
		Lymphangitis of breast Mastitis: · NOS · interstitial · parenchymatous				} } } } }	gestational or puerperal


O92		Other disorders of breast and lactation associated with childbirth
		Includes:	the listed conditions during pregnancy, the puerperium or lactation
O92.0		Retracted nipple associated with childbirth
O92.1		Cracked nipple associated with childbirth
		Fissure of nipple, gestational or puerperal
O92.2		Other and unspecified disorders of breast associated with childbirth
O92.3		Agalactia
		Primary agalactia
O92.4		Hypogalactia
O92.5		Suppressed lactation
		Agalactia: · elective · secondary · therapeutic
O92.6		Galactorrhoea
		Excludes:	galactorrhoea not associated with childbirth ( N64.3 )
O92.7		Other and unspecified disorders of lactation
		Puerperal galactocele