BAB O Kehamilan, Persalinan & Masa Nifas

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1 BAB O Kehamilan, Persalinan & Masa Nifas
ICD-10 CHAPTER XV BAB O Kehamilan, Persalinan & Masa Nifas

2 BAB XV (O00-O99) KEHAMILAN, KELAHIRAN & MASA NIFAS [641 – 678]
The codes included in this chapter are to be ... Excl.: Certain d. or injuries compl. preg., childb. and puerp. cl. elsew.: external causes (for mortality) (V, W, X, Y) Cedera, keracunan & konsekuensi lain akibat sebab luar (S00-T88.1, T88.6-T98)

3 Gangguan mental & prilaku yang terkait masa nifas (F53.-)
(Lanjutan) Gangguan mental & prilaku yang terkait masa nifas (F53.-) Tetanus obstetrik (A34) Nekrosis postpartum kelenjar pituitari (E23.0) Osteomalacia postpartum (M83.0) Supervisi dari: Kehamilan berisiko tinggi (Z35-) Kehamilan normal (Z34.-)

4 Bab ini meliput 8 blok sebagai berikut:
O00-O08 Kehamilan dengan abortus O10-O16 Edema, proteinuira & gangguan hipertensi pada kehamilan, kelahiran & nifas O20-O29 Gangguan-gangguan maternal lain yang utamanya terkait kehamilan. O30-O48 Asuhan maternal terkait janin, kantung ketuban yang kemungkinan menimbulkan masalah persalinan/kelahiran O60-O75 Komplikasi persalinan dan kelahiran O80-O84 Kelahiran/Metode persalinan O85-O92 Komplikasi yang utamanya berkaitan dengan masa nifas O95-O99 Kondisi-2 lain obstetrik, NEC

5 Kehamilan dengan hasil Abortus (O00-O08) [642 – 647]
EXCL.: kehamilan berlanjut setelah satu atau lebih dari satu janin gugur pada suatu kehamilan multipel. Tersedia karakter ke-4 sebagai subdivisi untuk dimanfaatkan melengkapi O03 – O06. Note: incomplete abortion includes retained products of conception following abortion. [642] .7 dan

6 O00 Kehamilan di luar kandungan Incl.: …
(Lanjutan) Perhatikan: O00 Kehamilan di luar kandungan Incl.: … Use additional code dari …O08.- O ada Excl.: ... O00.1; O00.2 dan O00.8; O00.9. O01 Mola hidatidiform Use additional code dari … O08.- Excl.: ... O01.0; O01.1 dan O01.9 O02 Other abnormal products of conception Use additional code dari … O08.- O02.0 dan O Pada O02.1, O02.8 ada Excl.: ..

7 O03 Spontaneous abortion [See before O03 for subdivisions] Incl.: ...
(Lanjutan) O03 Spontaneous abortion [See before O03 for subdivisions] Incl.: ... O04 Medical abortion Incl.: termination of pregnancy: legal, therap. therapuetic abortion O05 Other abortion O06 Unspecified abortion Incl.: induced abortion NOS

8 O07 Failed attempted abortion Incl.: ... Excl.: ...
(Lanjutan) O07 Failed attempted abortion Incl.: ... Excl.: ... O07.0, O07.1, O07.2, O07.3, O07.5, O07.6, O07.7 dan O07.8 semua disertai: with cond. in O08.- Pada O07.4, O07.9 ada Failed attemp abortion. O08 Complicating following abortion & ectopic & molar pregnancy Note: This code is provided primary for morbidity coding. For use of this category reference should be made to the morbidity coding rules & quidelines in Volume 2.

9 (Lanjutan) O08.0 Genital tract and pelvic infect. follow. abort. and ectopic and molar preg. Ada tambah: septicaemia di bawah sepsis. Use add. Code (R57.2), ... Excl.: ... O08.1; O08.2; O08.4; O08.5; O08.6; O08.7 dan O08.8; O08.9 Pada O08.3 ada Excl.: septic shock (R57.2)

10 Oedema, proteinuria & hypertensive complicating disor. in preg
Oedema, proteinuria & hypertensive complicating disor. in preg., childb. & the puer. (O10 – O16) [647 – 648] O10 Pre-existing hypertension ... Incl.: the listed cond. with preexisting proteinuria Excl.: that with superimposed preexclampsia (O11) O10.0; O10.1; O10.2; O10.3; O10.4 dan O10.9. O11.X Eclampsia superimposed on chronic hypertension Incl.: ...

11 O12 Gestational [pregancy-induced] oedema
(Lanjutan) O12 Gestational [pregancy-induced] oedema and proteinuria without hypertention O12.0; O12.1 dan O12.2 O13.X Gestational [pregancy-induced] hyper- tention without signif. Proteinuria Incl.: gestational hypertension NOS pregnancy induced hypertension O14 Gestational [pregancy-induced] hyper- tention with signif. Proteinuria Excl.: ... O Mild to moderate pre-eclampsia O Severe pre-eclamp. O14.2 dqn O14.9

12 Incl.: convulsions following conditions in O10 – O14 and O16
(Lanjutan) O15 Eclampsia Incl.: convulsions following conditions in O10 – O14 and O16 exclampsia with pregnancy-induced or pre-existing hypertension O15.0; O15.1; O15.2 dan O15.9. O16.X Unspecified maternal hypertension.

13 Other maternal disorders predominantly related to pregnancy (O20-O29) [649 -653]
Note: Categories O24.- and O25 include the listed conditions even if they occur during childbirth or the puerperium. Exclu.: maternal: - care related to the fetus and amniotic cavity & possible deli- very problems (O30-O48) - Disease classifiable elsewhere but complicating pregnancy, labour (labor) and delivery, and the puerperium.

14 Perhatikan definisi untuk: O20 Haemorrhage in early pregnancy Excl.: …
(Lanjutan) Perhatikan definisi untuk: O20 Haemorrhage in early pregnancy Excl.: … O20.0 dan O20.8; (O20.9 O21 Excessive vomiting in pregnancy O21.0; O21.1 dan O21.9 Pada O21.2 ada Excl.: ... Pada O ada Use additional code, if ... O22 Venous complications in pregnancy O22.0; O22.1; O22.2; O22.3; O22.4; O22.5 dan O22.8; O22.9

15 O24 Diabetes mellitus in pregnancy
(Lanjutan) O24 Diabetes mellitus in pregnancy Incl.: in childbirth and the puerperium O24.0, O24.1, O24.2, O (pre-existing DM ...) O24.4 Gestational DM NOS O24.9 DM in preg. unspecified. O25.X Malnutrition in pregnancy Incl.: malnutrition in child. and the puerp. O26 Maternal care for other condi. predom. Related to pregnancy O26.0, O26.2, O26.6 dan O26.7 ada Excl.: ... O26.1; O26.3, O26.4, O24.5 dan O26.8; O26.9

16 O28 Abnormal find. on antenat. screening of m
(Lanjutan) O28 Abnormal find. on antenat. screening of m Excl.: diagnostic findings class. elsew. – see Alphab. Index maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48) O28.0; O28.1; O28.2; O28.3; O28.4; O28.5 dan O28.8; O28.9. O29 Complication of anaesthesia during preg. Incl.: … Excl.: ... O29.0; O29.1; O29.2; O29.3; O29.4; O29.5; O dan O29.8; O29.9.

17 Maternal care related to the fetus & amniotic cavity & possible delivery problems (O30-O48) [ ] O30 Multiple gestation Excl.: ... O30.0; O30.1; O30.2 dan O30.8; O30.9 O31 Complications specific to mutiple gest. Excl.: conjoined twins causing ... delayed delivery of 2nd twin ... malpresenttaion of one fetus or ... with obstructed labour ... O31.0; O31.1; O31.2 dan O31.8

18 O32 Maternal car for known or suspected malpres. Of fetus
(Lanjutan) O32 Maternal car for known or suspected malpres. Of fetus Incl.: ... Excl.: ... O32.0; O32.1; O32.2; O32.3; O32.4; O32.5 O32.6 dan O32.8; O32.9 O33 Maternal care for known or susp. disprop. Incl.: the listed conditions as a reason for observation, hospitalization or other obstet. care of the mother, or for C-S before onset of labour Excl.: ... O33.0; O33.1 s/d O33.8; O33.9

19 O34 Maternal care for known or suspected abnormal. of pelv. Organs
(Lanjutan) O34 Maternal care for known or suspected abnormal. of pelv. Organs Incl.: ... Excl.: ... O34.0; O34.3; O34.4; O34.5; dan O34.8; O34.9. Pada O34.1, O34.2, O34.6, O34.7 ada Excl.: ... O35 Maternal care for known or suspected fetal abnorm. and damage O35.0, O35.2 dan O35.5 ada Excl.: ... O35.1; O35.3; O35.4; O35.6; O35.7 dan O35.8; O35.9.

20 O36 Maternal care for other known or suspect. fetal problems
(Lanjutan) O36 Maternal care for other known or suspect. fetal problems Incl.: ... Excl.: ... O36.0; O36.1; O36.2; O36.3; O36.5; O36.6; O dan O36.8; O36.9. Pada O36.4 ada Excl.: ... O40.X Polyhydramios Incl.: ... O41 Other disord. Of amn. fluid & membranes Excl.: ... O41.0; O41.1 dan O41.8; O41.9.

21 O42 Premature rupture of membranee (KPD = ketuban pecah dini)
(Lanjutan) O42 Premature rupture of membranee (KPD = ketuban pecah dini) K42.0; K dan K42.9 Pada K42.1 ada Excl.: with labour delayed by ... O43 Placenta disorders Excl.: ... K43.0; K dan K43.8; K43.9. Pada K43.2 Morbidity adherent placenta Use additional .... O44 Placenta praevia O44.0 (without haemorhage) Pada O44.1 ada Excl.: ...

22 O45 Premature separation of placenta [abruptio placentae]
(Lanjutan) O45 Premature separation of placenta [abruptio placentae] O45.0; O45.8 dan O45.9 O46 Antepartum haemorrhage, NEC Excl.: ... O46.0; O46.8 dan O46.9 O47 False labour O47.0 (<37 weeks); O47.1 (= atau > 37 weeks) O (unspecified) O48.X Prolonged pregnancy Incl.: post-dates; post-term

23 Complications of Labour & Delivery (O60-O75) [661 - 669]
O60 Preterm labour and delivery Incl.: onset (spontaneous) of labour before 37 completed weeks of gestation Perhatikan definisi pada masing nomor kode. O60.0; O60.1; O60.2 dan O60.3 O61 Failed inductiion of labour O61.0; O61.1 dan O61.8; O61.9 O62 Abnormalities of forces of labour O62.0; O62.1; O62.2; O62.3 dan O62.8; O62.9. Pada O62.4 ada Excl.: ...

24 Perhatikan hubungan long labour dengan kala persalinan.
(Lanjutan) O63 Long labour Perhatikan hubungan long labour dengan kala persalinan. O63.0; O63.1; O dan O63.9 O64 Obstructed labour due to malposition & malpresentation of fetus (sebab adalah letak/presentasi janin) O64.0; O64.1; O64.2 ; O64.3; O64.5 dan O64.8; O64.9. Pada O64.4 ada Excl.: impected shoulders (O66.0) shoulder dystocia (O66.0)

25 O65 Obstructed ...(sebab adalah pinggul bumil)
(Lanjutan) O Obstructed ...(sebab adalah pinggul bumil) O65.0; O65.1; O65.2 ; O65.3; O65.5; O65.8; O65.9 Pada O65.4 ada Excl.: .... O Other obstructed … O66.0; O66.1; O66.2 ; O66.3; O66.4; O66.5 dan O66.8; O66.9 O Persalinan & kelahiran terkomplikasi perdarahan intrapartum, yang NEC. O dan O67.8; O67.9

26 O68 L & D complic. by fetal stress [distress] Incl.: ...
(Lanjutan) O68 L & D complic. by fetal stress [distress] Incl.: ... O68.0 dan O68.1 ada Excl.: ... O68.2; O68.3 dan O68.8; O68.9 O69 L&D complic. by umb. cord complicat. O69.0; O69.1; O69.2; O69.3; O69.4; O69.5 dan O69.8; O69.9 O70 Perineal laceration during delivery Excl.: Tambahan pada ICD-10 ed. Baru Vaginal sulcus laceration (O71.4)

27 (Lanjutan) O70.0 First degree perineal laceration during deliv. Ada tambahan di bawah: . Labia perisurethral tissue . Vagina low Ada tambahan Excl.: ... periurethral lac. Involving urethra (O71.5) that with laceration - high vaginal wall (middle)(upperthird of vag. wall) (O71.4) - vaginal sulcus (O71.4)

28 O71.4 Obstetric high vaginal ...
(Lanjutan) O Obstetric high vaginal ... Excl.: that of the lower vagina (O70.-) O Other obstet. Injury to pelvic joints & lig. Ada tambahan Excl.: minor laceration involving peri-urethral tissue only (O70.0) O71.6; O71.7 dan O71.8; O71.9 O72 Postpartum haemorrhage Incl.: ... Pada O72.0 ada Use additionalo code, if ... O72.1; O72.2 dan O72.3

29 O73 Retained placenta & membranes, without haemorrhage.
(Lanjutan) O73 Retained placenta & membranes, without haemorrhage. O ada Use additional code, if ... O37.1 O74 Complications of anaesthesia during labour & delivery Incl.: … O74.0; O74.1 s/d O74.8; O78.9. O75 Other compl. of labour & deliv., NEC. Excl.: puerp.:infection(O86);sepsis (O85) O75.0; O75.1; O75.2; O75.3; O75.5; O75.8; O75.9 Pada O dan O75.6 ada Excl.: ...

30 Delivery (PERSALINAN) (O80-O84) [669 -670]
Note: Kode O80-O84 tersedia untuk kepentingan code morbiditas. Kode-kode di blok ini hendaknya digunakan untuk kode primer morbiditas hanya apabila tidak ada kondisi lain yang terklasifikasi di bab XV ter-rekam. Bila kategori-kategori ini akan digunakan, rujuklah ke peraturan Morbidity Coding Rules di Volume 2.

31 O80 Single spontaneous delivery
(Lanjutan) O80 Single spontaneous delivery Incl.: cases with minimal or no assistance, with or without episiotomy delivery in a completely normal case. O80.0; O80.1 dan O80.8; O80.9. O81 Single delivery by forc. & vacuum extr. Excl.: ... O81.0; O81.1; O81.2; O81.3; O81.4 dan O81.5. O82 Single delivery by caesarean section O82.0; O82.1; O dan O82.8; O82.9

32 O83 Other assisted single delivery O83.0; O83.1; O83.2 ; O83.3; O83.4
(Lanjutan) O83 Other assisted single delivery O83.0; O83.1; O83.2 ; O83.3; O83.4 dan O83.8; O83.9. O84 Multiple delivery Use additional code (O80-O83), if disired, to indicate the method of delivery of each fetus (janin) or infant (bayi) O84.0 Mult. deliv. all spontan. O84.1 Mult. deliv. all by forceps and vaccum extr. O84.2 Mult. deliv. all by caesarean section O84.8 Other mult. deliv. O Mult. Deliv., unspecified.

33 Complications predominantly related to the puerperium (O85-O92) [671 – 674]
Komplikasi yang utamanya terkait masa nifas: Note: Categories O88.-, O91.-,O92.- include the listed conditions even if they occur during pregnancy and childbirth. Excl.: mental & behavioural disorders associated with the puerperium (F53.-) ostetrical tetanus (A34) puerperal osteomalacia (M83.0)

34 - peritonitis dan sepsis
(Lanjutan) O85.X Puerperal sepsis Incl.: puerperal: - endometritis, - fever, - peritonitis dan sepsis Use additional code (B95-B97), if desired, to identify infection agent. Excl.: … O86 Other puerperal infection Use additional code (B95-B98), if .... Excl.: infection during labour (O75.3) O86.0; O86.1; O86.2; O86.3 dan O86.8. Pada O86.4 ada Excl.: ...

35 O87 Venous complic. in the puerperium
(Lanjutan) O87 Venous complic. in the puerperium Incl.: in labour, delivery, and the puerperium. Excl.: obstetric embolism (O88.-) venous compl.in preg. (O22.-) O87.0; O87.1; O87.2; O87.3; O87.8; O87.9. O88 Obstetric embolism Incl.: pulmonary emboli in pregnancy, childbirth or the puerperium Excl.: embolism complicating abortion or ectop.or molar pregnancy (O00-O07. O08.2) O88.0; O88.1; O88.2; O88.3 dan O88.8.

36 O89 Complication of anesthesia during the puerperium
(Lanjutan) O89 Complication of anesthesia during the puerperium Incl.: maternal complications arising from the administration of general or local anaesthetic, analgesic or other sedation during the puerperium. O89.0; O89.1; O89.2; O89.3; O89.4; O89.5; O89.6 dan O89.8; O89.9 O90 Complications of the puerperium, NEC O90.0; O90.1; O90.2; O90.3; O90.4; O90.5 dan O90.8; O90.9

37 O91 Infections of breast associated with childbirth
(Lanjutan) O91 Infections of breast associated with childbirth Incl.: the listed conditions during pregnancy, the puerperium or lactation. O91.0 (infection nipple ... ) O91.1 (Abscess of breast ... ) O91.2 (Non-purulent mastitis ...) O92 Other disorders of breast and lactation associated with childbirth. Incl.: the listed conditions during preg. ... O92.0; O92.1; O92.2; O92.3; O92.4; O92.5; O92.7. Pada O92.6 ada Excl.: ...

38 Other obstetric conditions, NEC (O94-O99) [675 – 678]
Note: For use of categories O95-O reference should be made to the mortality coding rules and guidelines in Volume 2 O94 Sequelae of compl. of preg. Childb. and puerperium Note: ...  for morbiditas coding only to indicate ...  as the cause of sequelae ... Not to be used for chronic .... Excl.: ...

39 O95.X Obstetric death of unspecified cause
(Lanjutan) O95.X Obstetric death of unspecified cause Incl.: Maternal death from unspecified cause occurring during pregnancy, labour & delivery, or the puerp. O96 Death from any obstetric cause occurring > than 42 days but < than one year after delivery. Use additional code, if desired, to identify obstetric cause (direct or indirect) of death. O Death f. direct obstet. cause O Death f. indirect obstet. cause O Death f. Unspecified obstet. cause

40 O97 Death from sequelae of direct obstetric causes.
(Lanjutan) O97 Death from sequelae of direct obstetric causes. Incl.: Death from any direct obstetric cause occurring one year or more after delivery. Use additional code, if disired, to identify .... O97.0; O97.1 dan O97.9 O98 Maternal Infectious & parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium Incl.: … Use additional code (Chapter I) if desired, to identify specific condition. Excl.: …

41 (Lanjutan) O98.0 (Conditions in A15 – A19) O98.1 (Conditions in A50 – A53) O98.2 (Conditions in A54) O98.3 (Conditions in A55 – A64) O98.4 (Conditions in B15 – B19) O98.5 (Conditions in A80 –B09; B25 – B34) O98.6 (Conditions in B50 – B64) O98.7 (Conditions in B20 – B24) O98.8 Other maternal infectious .... O98.9 Unspecified ....

42 O99 Other maternal diseases classifiable
(Lanjutan) O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium. Note: This categories includes conditions which complicate the pregnancy state, are aggravated by pregnancy or are a main reason for obstetric care and for which the Alphabetical Index does not indicate a specific rubric in Chapter XV. Use additional code, if desired, to identify specific condition.

43 (Lanjutan) Excl: infectious and parasitic diseases (O98.-) injury, poisoning and certain other conseq. of external causes (S00-T98) when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36) O99.0 (condition in D50 – D64) O99.1 (condition in D65 – D89) ada Excl.: ... O99.2 (condition in E00 – E90) O99.3 (condition in F00 – F99 and G00 – G99)

44 O99.4 (condition in I00 – I99) Excl.: ...
(Lanjutan) O99.4 (condition in I00 – I99) Excl.: ... O99.5 (condition in J00 – J99) O99.6 (condition in K00 – K93) Excl: ... O99.7 (condition in L00 – L99) O99.8 (condition in C00 – D48, H00 – H95, M00 – M99, N00 – N99, Q00 – Q99)

45 LATIHAN PENYELESAIAN SOAL-SOAL
Hamil dengan plasenta previa totalis dan perdarahan No: Seksio kaiser emergensi, No: Bayi tunggal hidup, cyanosis No: Partus normal spontan, letsu No: Bayi tunggal hidup No: Bayi cenggeng, kurang ASI No: 3. Abortus spontan inkomplit, No: Infeksi post kuret No: 4. Partus kembar 2, spontan. I letkep, dan II letsu No: bayi prematur (BB < 1.750) No:

46 (Lanjutan) 5. Hamil 71/2 bulan sakit febris typhoidea No: Partus spontan, No: Bayi prematur No: Ikterus fisiologis No: 6. Bumil 6 bulan, HIV positif No: 7. Postpartum thyroiditis No: 8. Partus lama, uterin fibroid No: 9. Partus macet karena bayi letak muka No: 10. Post partum haemorrhage akibat atoni uteri No:

47 SOAL LATIHAN MANDIRI Partus seksio No:
Kembar dempet terhubung di abdomen No: Berat badan kedua bayi di atas kg. No: Cengeng sulit menete ASI No: Persalinan macet No: Myoma uteri No: Lahir Vakum No: Bayi cephalohematom No: Partus spontan, cukup bulan, bayi sehat No: No: No:

48 Persalinan induksi gagal dengan suntikan oxytocin No:
(Lanjutan) Persalinan induksi gagal dengan suntikan oxytocin No: Uterin inertia, akhirnya diseksio dengan hysterectomy No: Bayi Hydrosefalus toksoplasmosis No: Solutio placentae, Seksio, bayi premature BB 490g No: No: