O36.81 Decreased fetal movements

Name of the Condition

• Decreased fetal movements

Summary

Decreased fetal movements refer to a reduction in the normal activity or movements of a fetus in the womb, as perceived by the mother. This condition may indicate potential issues with fetal well-being and requires evaluation to assess fetal health.

Causes

Causes can include placental insufficiency, fetal growth restrictions, issues with the umbilical cord, or maternal health problems such as high blood pressure or diabetes.

Risk Factors

• Advanced maternal age
• Pre-existing medical conditions (e.g., hypertension or diabetes)
• Previous pregnancy complications
• Lifestyle factors such as smoking or substance use

Symptoms

Noticeable reduction in the fetal movements as previously felt by the mother, typically identified through a count of less than ten movements in two hours.

Diagnosis

Ultrasound to assess fetal well-being and amniotic fluid levels. Non-stress tests to monitor fetal heart rate. Maternal records of fetal movement patterns.

Treatment Options

Close monitoring of both the mother and fetus. Addressing underlying maternal health conditions. Possible hospital admission for intensive monitoring in severe cases.

Prognosis and Follow-Up

Prognosis depends on the underlying cause and timely intervention. Regular follow-up is essential to monitor fetal status and adjust care as needed.

Complications

Potential complications include fetal distress, preterm birth, or stillbirth if decreased movements are due to significant fetal compromise.

Lifestyle & Prevention

• Monitor fetal movements daily and report changes promptly.
• Maintain a healthy lifestyle, including balanced nutrition and avoiding harmful substances.
• Attend all prenatal appointments for regular assessments.

When to Seek Professional Help

Seek immediate medical attention if fetal movements decrease significantly or stop, as this may signal a serious issue requiring urgent evaluation.

Tips for Medical Coders

Document the timing and nature of decreased fetal movements, including maternal reports and any diagnostic evaluations performed. Ensure clear linkage to the clinical findings to support accurate coding.