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Underfeeding of newborn
ICD10CM code
#### Name of the Condition
- Underfeeding of Newborn
- Medical term: Neonatal Hypoalimentation
#### Summary
Underfeeding of newborns (ICD Code P92.3) refers to inadequate nutritional intake by an infant, leading to potential growth and developmental concerns. This condition can result from various factors, including breastfeeding difficulties or medical issues affecting feeding.
#### Causes
- Inadequate breast milk production
- Poor latch or suckling technique
- Maternal factors such as illness or stress
- Conditions like tongue-tie or cleft palate that affect feeding
- Premature birth or low birth weight requiring special feeding
#### Risk Factors
- Premature infants
- Infants with congenital abnormalities affecting feeding
- Social factors such as lack of breastfeeding support
- Mothers with health issues impacting milk supply
#### Symptoms
- Poor weight gain or weight loss
- Decreased urine output or fewer wet diapers
- Lethargy or decreased activity
- Persistent crying or irritability
- Signs of dehydration
#### Diagnosis
- Monitoring of weight gain and growth patterns
- Observational feeding assessments
- Clinical history evaluation, including feeding frequency and urine output
#### Treatment Options
- Lactation support and counseling for breastfeeding mothers
- Supplemental feeding with expressed breast milk or formula
- Addressing underlying medical issues affecting feeding
#### Prognosis and Follow-Up
- With appropriate intervention, most infants experience healthy growth and development.
- Regular pediatric follow-ups to monitor weight, growth, and developmental milestones are crucial.
#### Complications
- Delayed growth and development
- Increased susceptibility to infections
- Persistent feeding difficulties requiring prolonged intervention
#### Lifestyle & Prevention
- Encouraging and supporting breastfeeding through education and counseling
- Promoting mother-infant bonding to support milk production
- Timely interventions in breastfeeding difficulties to enhance infant nutrition
#### When to Seek Professional Help
- Persistent poor weight gain or weight loss
- Signs of dehydration (e.g., very few wet diapers, dry mouth)
- Continuous fussiness or lethargy in the newborn
#### Additional Resources
- [American Academy of Pediatrics](https://www.aap.org)
- [La Leche League International](https://www.llli.org)
- [World Health Organization - Breastfeeding](https://www.who.int/topics/breastfeeding/en/)
#### Tips for Medical Coders
- Accurate documentation of feeding assessments and interventions is key.
- Note related conditions that may impact feeding, such as prematurity or congenital anomalies, to ensure comprehensive coding.
- Avoid coding errors by distinguishing between underfeeding due to social and medical factors.