O07 Failed attempted termination of pregnancy

Name of the Condition

• Failed Attempted Termination of Pregnancy

Summary

This condition refers to an unsuccessful attempt to terminate a pregnancy, which may result in complications requiring further medical evaluation. The outcome can vary depending on the procedure and associated factors.

Causes

The condition generally arises from complications during or after a medical or surgical abortion procedure. Factors can include procedural errors, incomplete abortion, or inadequate post-procedure care.

Risk Factors

• Performing the procedure in non-sanitary conditions.
• Lack of trained healthcare personnel.
• Advanced gestational age.
• Use of incorrect medications or dosages.

Symptoms

Symptoms can vary widely but often include persistent bleeding, severe abdominal pain, fever, or signs of infection. Emotional and psychological symptoms may also be present.

Diagnosis

Diagnosis is usually conducted through thorough physical examination, pelvic ultrasound to assess uterine content, and laboratory tests to check for infections or other complications.

Treatment Options

Treatments can include surgical intervention such as dilation and curettage (D&C) to remove remaining tissue, antibiotics for infection, and supportive care to manage pain and other symptoms. Counseling may also be recommended.

Prognosis and Follow-Up

Prognosis depends on the severity of complications and timely intervention. Follow-up care is essential to monitor for infection, ensure complete resolution, and address any emotional or psychological needs.

Complications

Potential complications include hemorrhage, infection, uterine perforation, or incomplete abortion requiring additional procedures.

Lifestyle & Prevention

Prevention focuses on ensuring safe, legal, and properly supervised abortion procedures. Avoiding unregulated or self-administered methods reduces risk.

When to Seek Professional Help

Seek immediate medical attention for severe abdominal pain, heavy bleeding, fever, or signs of infection after an attempted termination.

Tips for Medical Coders

Document the reason for the failed attempt, any complications present, and the type of procedure performed. Ensure detailed clinical notes support the diagnosis for accurate coding.