ICD-9 Diagnosis Code 649.42

Epilepsy-delivered w p/p

Diagnosis Code 649.42

ICD-9: 649.42
Short Description: Epilepsy-delivered w p/p
Long Description: Epilepsy complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication
This is the 2014 version of the ICD-9-CM diagnosis code 649.42

Code Classification
  • Complications of pregnancy, childbirth, and the puerperium
    • Complications mainly related to pregnancy (640-649)
      • 649 Other conditions or status of the mother complicating pregnancy, childbirth, or the puerperium

Information for Patients


Epilepsy is a brain disorder that causes people to have recurring seizures. The seizures happen when clusters of nerve cells, or neurons, in the brain send out the wrong signals. People may have strange sensations and emotions or behave strangely. They may have violent muscle spasms or lose consciousness.

Epilepsy has many possible causes, including illness, brain injury, and abnormal brain development. In many cases, the cause is unknown.

Doctors use brain scans and other tests to diagnose epilepsy. It is important to start treatment right away. There is no cure for epilepsy, but medicines can control seizures for most people. When medicines are not working well, surgery or implanted devices such as vagus nerve stimulators may help. Special diets can help some children with epilepsy.

NIH: National Institute of Neurological Disorders and Stroke

  • Brain surgery
  • Brain surgery - discharge
  • EEG
  • Epilepsy
  • Epilepsy - children - discharge
  • Epilepsy or seizures - discharge

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Health Problems in Pregnancy

Every pregnancy has some risk of problems. The causes can be conditions you already have or conditions you develop. They also include being pregnant with more than one baby, previous problem pregnancies, or being over age 35. They can affect your health and the health of your baby.

If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Examples of common conditions that can complicate a pregnancy include

  • Heart disease
  • High blood pressure
  • Kidney problems
  • Autoimmune disorders
  • Sexually transmitted diseases
  • Diabetes
  • Cancer
  • Infections

Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.

Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your doctor or midwife if something is bothering or worrying you.

  • Bed rest during pregnancy
  • Hydramnios
  • Hyperemesis gravidarum
  • Insufficient cervix
  • Morning sickness
  • Morning sickness
  • Placenta abruptio
  • Placenta abruptio
  • Placenta previa
  • Polyhydramnios
  • Serum progesterone
  • Striae
  • Vaginal bleeding in early pregnancy
  • Vaginal bleeding in late pregnancy
  • Vaginal bleeding in pregnancy

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Postpartum Care

Also called: Post-pregnancy health

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

  • Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
  • You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
  • Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
  • Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Dept. of Health and Human Services Office on Women's Health

  • After vaginal delivery - in the hospital
  • Losing weight after pregnancy
  • Vaginal delivery - discharge

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