ICD-9 Diagnosis Code 674.22

Disrupt perin-del w p/p

Diagnosis Code 674.22

ICD-9: 674.22
Short Description: Disrupt perin-del w p/p
Long Description: Disruption of perineal wound, delivered, with mention of postpartum complication
This is the 2014 version of the ICD-9-CM diagnosis code 674.22

Code Classification
  • Complications of pregnancy, childbirth, and the puerperium
    • Complications of the puerperium (670-677)
      • 674 Other and unspecified complications of the puerperium, not elsewhere classified

Information for Patients


When you are ready to have your baby, you'll go through labor. Contractions let you know labor is starting. When contractions are five minutes apart, your body is ready to push the baby out.

During the first stage of labor, your cervix slowly opens, or dilates, to about 4 inches wide. At the same time, it becomes thinner. This is called effacement. You shouldn't push until your uterus is fully effaced and dilated. When it is, the baby delivery stage starts. Crowning is when your baby's scalp comes into view. Shortly afterward, your baby is born. The placenta that nourished the baby follows.

Mothers and babies are monitored closely during labor. Most women are healthy enough to have a baby through normal vaginal delivery, meaning that the baby comes down the birth canal without surgery. If there are complications, the baby may need to be delivered surgically by a Cesarean section.

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

  • After vaginal delivery - in the hospital
  • Am I in labor?
  • Assisted delivery with forceps
  • Creating a birth plan
  • Delivery presentations
  • Delivery presentations
  • Epidural block
  • Episiotomy
  • Episotomy - aftercare
  • Inducing labor
  • Managing pain during labor
  • Premature rupture of membranes
  • Spinal and epidural anesthesia
  • Strategies for getting through labor
  • Tips for labor coaches
  • Vacuum-assisted delivery
  • Vaginal birth after C-section
  • Vaginal delivery - discharge
  • What to include in your birth plan
  • What you should bring to your labor and delivery

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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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Wounds and Injuries

Also called: Traumatic injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include

  • Bruises
  • Burns
  • Dislocations
  • Fractures
  • Sprains and strains

  • Amputation - traumatic
  • Animal bites -- self-care
  • Bleeding
  • Closed suction drain with bulb
  • Crush injury
  • Cuts and puncture wounds
  • Electrical injury
  • Gunshot wounds -- aftercare
  • Hemovac drain
  • How wounds heal
  • Human bites -- self-care
  • Laceration - sutures or staples - at home
  • Lacerations - liquid bandage
  • Nail injuries
  • Skin flaps and grafts -- self-care
  • Sterile technique
  • Sternal exploration or closure
  • Surgical wound care
  • Surgical wound care -- closed
  • Surgical wound infection - treatment
  • Wet to dry dressing changes
  • Wound care centers

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