剖腹生產的適應症

ICD - 10

1

Fetal distress(需附胎兒監視器報告)

O76胎兒心搏率或節律異常O77其他胎兒窘迫

2

Failure to progress in active labor(產程進展不良)。

O62生產異常用力O63產程過長

3

Antepartum haemorrhage(placenta previa,  placental abruption)(產前出血)

O44.1前置胎盤伴有出血

O45胎盤早期剝離

O46產前出血,他處未歸類

4

Malpresentation(including twin with malpresentation) (胎位不正)

O32胎位不正的母體照護

O33胎頭骨盆比例不對稱的母體照護

5

Cord prolapse(臍帶脫垂)

O69分娩及生產併發臍帶併發症

6

Induction failure(催生失敗者)

O61引產失敗

7

Active genital herpes (生殖道疱疹者)

O26.4妊娠疱疹

O98.32生產時主要由性傳播的其他感染(A55-A64)

8

Previous C/S(前次剖腹產)。請註明前次剖腹產之理由,前次為自行要求剖腹產者,如無特殊理由須再度剖腹產者,僅得以自行要求剖腹產項目申報

O34.21前胎剖腹分娩導致疤痕

9

Previous uterine surgery(先前有子宮手術)

O34.29先前手術導致子宮疤痕

10

Vulvar and/or vaginal condyloma acuminata, diffuse (陰部或陰道長尖形濕疣)

O98.32生產時主要由性傳播的其他感染(A55-A64)

11

Treatable fetal anomalies (e.g. gastroschisis, omphalocele, hydrocephaly)(胎兒先天異常可治療)

O35已知或疑似胎兒異常及損傷

12

Preeclampsia with(子癇前症):

(1)uncorrectable severe preeclampsia

(2)HELLP syndrome with failed induction(6hrs)

(3)eclampsia with poor induction progress(6hrs)

 

O14.1-Severe pre-eclampsia

O14.2-HELLP syndrome

O15.- Eclampsia

13

Extremly premature fetus < 1500gm(限有NICU設備院所)。(嬰兒體重<1500公克)

O36.5已知或疑似胎兒生長遲緩

14

Pelvic deformity (sequela of poliomyelitis or traffic accident, etc.) (骨盤畸型)

(O65.5) O34.0骨盆器官異常的母體照護+B91脊髓灰白質炎後遺症

15

Fetal macrosomia (>4000gm EBW)(胎兒體重過重>4000公克)

O36.6胎兒生長過度

O66.2胎兒過大阻礙分娩

16

Cephalopelvic disproportion (CPD)(胎頭骨盆不對稱)

O33胎頭骨盆比例不對稱

17

Obsructive labor (e.g. myoma, ovarian tumor)(阻塞性生產,如子宮肌瘤或卵巢腫塊)

(O65.5) O34.1子宮體良性腫瘤

(O65.5) O34.4其他子宮頸異常

O64-O66阻礙產程

O9A.1惡性腫瘤(C00-C96)

18

Major medical complications(主要內科併發症)

 

19

經診斷為HIV(+)者

O98.72+B20[HIV]

20

其他特殊適應症,但需詳細說明