Tuesday, 28 October 2014

OB/Pregnancy, Newborn and Congenital Foot Deformities


OB/Pregnancy

 
Pregnancy
Pregnancy

• Specify trimester
    --First (less than 14 weeks, 0 days)
    --Second (14 weeks, 0 days to less than 28 weeks, 0 days)
    --Third (28 weeks until delivery)
• Specify preterm labor/delivery
• Gestational Diabetes needs documentation specification of diet
controlled or insulin controlled
• Document any associated diagnoses/conditions

Newborn

• Birth:
    --In hospital
       °°Specify delivery type
    --Outside hospital
• Document any maternal conditions affecting the newborn
• Specify gestational age and weight of newborn
• Specify congenital vs. acquired conditions
• Document any associated diagnoses/ conditions


Congenital Foot Deformities

• Specify “Congenital” or “Acquired”
• Specify type:
    --Talipes equinovarus
    --Talipes calcaneovarus
    --Metatarsus varus
    --Talipes calcaneovalgus
    --Pes planus (left vs. right)
    --Pes cavus
    --Vertical talus deformity (left vs. right)
    --Other (specify)
• Document any associated diagnoses/conditions

1 comment:

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