Impending Preterm Birth: Or something else? Differential Diagnosis

Certain conditions originating in the perinatal period (P00-P96).

  • Harm to the fetus or newborn caused by:
    • Cervical insufficiency (weakness of the cervix).
    • Premature rupture of membranes (PROM).
    • Other and unspecified morphological and functional placental abnormalities (abnormalities of the placenta), including: Placental dysfunction (-malfunction), -infarction (tissue death due to hypoxia), -insufficiency (-weakness).

Pregnancy, childbirth and puerperium (O00-O99).

  • Cervical insufficiency as a complication of pregnancy.
  • Infection of the amniotic sac and membranes due to:
    • Amnionitis (inflammation of the inner membranes of the egg).
    • Chorioamnionitis (inflammation of the inner egg skin and the outer layer of the amniotic membranes around the embryo or fetus/unborn child).
    • Placentitis (inflammation of the placenta).
  • Placenta praevia (malposition of the placenta) with hemorrhage:
    • Marginalis (placental tissue reaches the internal cervix).
    • Partialis (placental tissue partially overlaps the cervix).
    • Totalis (placenta lies centrally over the inner cervix).
  • Prepartum (prenatal) hemorrhage in coagulopathy.
  • Prepartum hemorrhage (increased) associated with:
    • Afibrinogenemia (complete absence of fibrinogen).
    • Disseminated intravascular coagulation (DIC) – acquired life-threatening condition in which clotting factors are depleted by excessive blood clotting in the vasculature, resulting in a bleeding tendency
    • Hyperfibrinolysis (increased fibrinolysis / fibrin cleavage, ie, endogenous dissolution of a blood clot (thrombus) by the enzyme plasmin).
    • Hypofibrinogenemia (decreased fibrinolysis).
  • Other prepartum hemorrhage
  • Deep seating of the placenta with hemorrhage
  • Premature abruption of the placenta (abruptio placentae).

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99).

  • Abdominal pain
  • Pain in the pelvis and perineum

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99)

  • Bladder stone
  • Kidney stone
  • Kidney stone and ureteral stone (ureteral stone) at the same time.
  • Ureteral stone
  • Urethral stone (urethral stone)
  • Urethritis (inflammation of the urethra)
  • Cystitis (cystitis)