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icd 10 code for vaginal bleeding
All primiparous women registered in the Swedish Medical Bearing Registry from 1 January 1983 to 31 December 2000 (n = 745,596) were considered. Diseases in Swedish registers are coded according to the International Classification of Diseases (ICD); the 8th adaptation (ICD-8) was acclimated through 1986, the 9th afterlight (ICD-9) amid 1987 and 1996, and the 10th afterlight (ICD-10) has been acclimated back 1997. Women afterwards any registered psychiatric analysis (ICD-8 codes 290-390; ICD-9 codes 290-316; and ICD-10 codes F00-F99) in the Hospital Acquittal Registry afore the date of commitment were analyzed separately.
We included advice on psychoses registered in the Hospital Acquittal Registry as a primary or accessory diagnoses (ICD-8 codes 294.4, 295-299; ICD-9 codes 295-298; and ICD-10 codes F20-31 or F53.1) during the aboriginal 90 d postpartum; or alternatively, afterwards than 90 d until abutting pregnancy, abandonment from Sweden, death, or end of aftereffect (31 December 2001). A psychosis case could accept had added than one analysis for psychoses afterwards childbirth, but we counted alone the aboriginal hospitalization. The acquittal diagnoses are fabricated by the accessory analyst based on observations during analysis and appraisal of the accommodating as able-bodied as medical annal at discharge. The registered ICD acquittal diagnoses accept been appear to accept aerial acceding with diagnoses based on DSM (Diagnostic and Statistical Manual of Mental Disorders) criteria[10] as able-bodied as with diagnoses based on semistructured interviews and medical records.[11]
Women ailing for psychoses were categorized into the afterward diagnoses: (1) postpartum psychosis (ICD-8 cipher 294.4; ICD-10 cipher F53.1), (2) acute/reactive psychosis (ICD-8 codes 298.00-299.99; ICD-9 codes 298A-X; ICD-10 codes F23 and F28-29), (3) schizophrenia (ICD-8 codes 295.00-295.99; ICD-9 codes 295A-X; ICD-10 cipher F20), (4) melancholia (ICD-8 codes 296.00-296.99; ICD-9 codes 296A-X; ICD-10 codes F30-3), (5) paranoia (ICD-8 codes 297.00-297.98; ICD-9 codes 297BCDWX; ICD-10 cipher F22) and, (6) schizoaffective ataxia (ICD-8 cipher 295.7; ICD-9 cipher 295H; ICD-10 cipher F25).
Independent variables were mainly acquired from the Medical Bearing Registry. The affectionate accomplishments factors were: age at birth; years of apprenticeship (from the Apprenticeship Registry); ancestors bearings (living with child's ancestor or not); country of bearing (Sweden; added Nordic country; non-Nordic European country, North America, Australia and New Zealand; Asia, Africa, South America); active in one of the three better cities in Sweden (Stockholm, Gothenburg, and Malmö) or not; hypertensive ache (ICD-8 codes 400-404 or 637; ICD-9 cipher 642; ICD-10 codes O10-O14); diabetes (pregestational or gestational; ICD-8 cipher 250; ICD-9 codes 648A or 648W; ICD-10 cipher O24); affectionate cigarette smoker at acceptance to maternology care; and year of birth.
Obstetric and perinatal exposures were: perinatal afterlife (stillbirth or baby afterlife aural 7 d), complete malformations (ICD-8 and ICD-9 codes 740-759, ICD-10 codes Q00-Q99), gestational age (in completed weeks), and bearing weight. Large for gestational age (LGA) and baby for gestational age (SGA) were authentic as a bearing weight of added or beneath than 2 accepted deviations from the beggarly bearing weight for gestational age, respectively, according to the Swedish advertence ambit for fetal growth.[12] We additionally included advice on the infant's sex, distinct or assorted births (the basis adolescent actuality the ancient multiple), approach of commitment (vaginal or cesarean delivery), dystocia (ICD-8 cipher 657; ICD-9 cipher 661; ICD-10 cipher O62), and antepartum bleeding (ICD-8 codes 632 and 651; ICD-9 cipher 641; ICD-10 codes O44-O46).
The abstraction conforms to STROBE guidelines for accomplice studies (Text S1) and was accustomed by the Ethics Review Board at Karolinska Institutet, # 03-462.
We affected the admeasurement of cases with no antecedent psychiatric hospitalizations from the absolute psychosis cases during the aboriginal 90 d afterwards aboriginal births. The accident ante of absolute psychosis cases and aboriginal psychosis cases were affected aural categories of 30 d of the aboriginal year postpartum and again annually until abutting pregnancy, death, abandonment from Sweden, or appear the end of the ascertainment aeon (31 December 2001); whichever occurred first. We acclimated Cox's proportional hazard corruption models to account adapted hazard ratios for psychoses (95% aplomb intervals [CIs]) during and afterwards the aboriginal 90 d postpartum. The Wald analysis for interactions was performed to analysis abeyant interactions amid antecedent psychiatric hospitalizations and all affectionate as able-bodied as obstetric characteristics on the accident of psychosis during the aboriginal 90 d postpartum. SAS systems software adaptation 9.1 was acclimated for the statistical analyses.
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Full text] The Danish National Patient Registry: a review of ... | icd 10 code for vaginal bleeding[/caption]
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