The following are the major conditions or complications that may be contributed to by placental insufficiency (placental insufficiency):
Certain conditions originating in the perinatal period (P00-P96).
- Maternal care for fetal growth retardation (abnormal fetal growth retardation; fetal growth restriction).
- Child to
- Small for gestational age/pregnancy age [Small-for-dates/child too small for gestational age].
- Light for gestational age [Light-for-dates/child too light for gestational age]
- Harm to the fetus and newborn caused by.
- Umbilical cord prolapse
- Placenta praevia (malposition of the placenta (placenta); it is nested near the cervix and covers all or part of the birth canal)
- Other forms of
- Umbilical cord compression including: Umbilical cord (tight) around the neck, umbilical cord knot, umbilical cord entanglement.
- Placental abruption and hemorrhage (abruptio placentae/preterm placental abruption, accidental (“incidental”) hemorrhage, maternal blood loss, prepartum (before birth) hemorrhage)
- Other and unspecified conditions of the umbilical cord incl.: Vasa praevia, umbilical cord too short.
Pregnancy, childbirth, and puerperium (O00-O99).
- Abnormal ultrasound findings during prenatal screening examination.
- Care of the mother at
- Care of the mother because of:
- Signs of fetal hypoxia (fetal undersupply of oxygen).
- Fetal growth retardation (fetal growth retardation; fetal growth restriction) due to placental insufficiency:
- Early growth retardation before 34 weeks of gestation.
- Late growth retardation; prevalence of 3-5% (more common than early growth retardation); definition:
- Growth below 3rd percentile and estimated weight below 10th percentile and presence of at least one of the following additional Doppler criteria:
- Increased resistance in the umbilical artery and/or.
- Increased resistance in the uterine arteriae and/or
- Reduced cerebroplacental ratio (CPR).
- Growth below 3rd percentile and estimated weight below 10th percentile and presence of at least one of the following additional Doppler criteria:
- Intrauterine amniotic death (stillbirth).
- Complication of the fetus, unspecified
- Other noted or suspected complication in the fetus.
- Growth retardation incl.: Maternal care for identified or suspected fetal retardation: placental insufficiency, too small for gestational age [small-for-dates], too light for gestational age [light-for-dates].
- Consequences of obstetric surgeries (sectio (cesarean section), vacuum (suction cup), forceps) with the indication of placental insufficiency.
- Pelvic hematoma during childbirth incl.: Hematoma (bruise) under birth: perineum (perineum), vagina (vagina), vulva (externally visible area of the vagina).
- Perineal tear during childbirth including episiotomy (perineal incision) with subsequent tearing on.
- 1st degree incl.injury, rupture or tear of the perineum with involvement of frenulum labiorum pudendi (posterior sharp-edged skin fold, as a connection of the labia minora damma), skin, labia, vagina, vulva, periurethral (“around the urethra”) tissue
- 2nd degree additionally injury to the pelvic floor, perineal muscles, vaginal muscles.
- 3rd degree additionally injury of septum rectovaginale (thin connective tissue partition (septum) between the vagina (vagina) and the rectum (rectum)), sphincter ani (sphincter).
- 4th degree additional injury to anal mucosa (anus), rectal mucosa (rectum).
- High vaginal laceration during childbirth
- Infection of the wound after surgical obstetric intervention including perineal suture, incisional delivery wound.
- Puerperal fever incl. endometritis (inflammation of the uterus), peritonitis (peritonitis), sepsis (blood poisoning).
- Uterine rupture:
- Before the onset of labor
- During birth
- Postpartum complications
- Dehiscence (pulling apart) of a
- Incisional dehiscence wound
- Obstetric perineal wound including perineal tear, episiotomy, secondary perineal tear.
- Hematoma (bruise) of an obstetric wound.
- Dehiscence (pulling apart) of a
- Injury during childbirth
- Unspecified
- Other injury to pelvic organs during childbirth incl. urinary bladder, urethra
- Maternal hypotension syndrome incl.: Vena cava compression syndrome (synonym: hypotensive syndrome) – pregnancy complication caused by a circulatory disorder of the mother due to pressure of the child in utero on the inferior vena cava with obstruction of blood flow to the heart.
- Intrapartum (“during childbirth”) hemorrhage
- In the case of coagulation disorder
- Unspecified
- Complications of labor and delivery due to
- Abnormal fetal heart rate incl: fetal bradycardia (heart rate: 100 to 110 beats/min for more than 3 minutes), fetal tachycardia (mild fetal tachycardia: 150 to 170 beats/min for more than 10 minutes; severe fetal tachycardia: Rate greater than 170 beats/min), irregular heart rate.
- Fetal disstress (intrauterine hypoxia/lack of oxygen to the infant; fetal distress),
- Detected by other examination methods incl.: Detection of fetal disstress by: Electrocardiogram, ultrasound
- Not specified
- Intrapartum (“during childbirth”) hemorrhage, not elsewhere classified.
- Oligohydramnios incl.: Oligohydramnios (amniotic fluid < 500 ml) without indication of rupture of the membranes.
- Pathological condition of the placenta, unspecified.
- Placenta praevia (malposition of the placenta (placenta); it is nested near the cervix and covers all or part of the birth canal)
- Prepartum (“before birth”) hemorrhage
- With coagulation disorder
- Unspecified
- Other
- Other intrapartum hemorrhage incl: increased intrapartum hemorrhage.
- Other pathologic conditions of the placenta incl.: Placental infarction, placental dysfunction (placental dysfunction).
- Premature placental abruption [abruptio placentae]
Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99).
- Shock, unspecified Incl: Peripheral circulatory failure n.e.c.
Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99).
- Consequences of obstetric operations (vacuum (suction), forceps) with the indication of placental insufficiency.
- Descensus (uterine prolapse).
- Descensus uteri et vaginae (uterine and vaginal descent).
- Prolapse uteri with vaginae (prolapse of the uterus and vagina).
- Urethrocele (hernia sac-like protrusion of the urethral mucosa to the outside).
- Rectocele (protrusion of the anterior wall of the rectum into the vagina).
- Cystocele (protrusion of the urinary bladder into the anterior vaginal wall).
- Stress incontinence (formerly: stress incontinence) – loss of urine during physical exertion due to a bladder closure problem.
- Descensus (uterine prolapse).
Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99).
- Consequences of obstetric operations (vacuum, forceps) with an indication of placental insufficiency.
- Fecal incontinence
