In simple words: This code describes excessive bleeding during labor and delivery caused by a blood clotting problem.

Intrapartum hemorrhage with coagulation defect. This includes conditions such as afibrinogenemia, disseminated intravascular coagulation (DIC), hyperfibrinolysis, and hypofibrinogenemia complicating the intrapartum period.

Example 1: A 30-year-old woman in the third trimester of pregnancy experiences heavy bleeding during labor. Laboratory tests reveal a decrease in fibrinogen levels, indicating hypofibrinogenemia. The physician administers cryoprecipitate to correct the coagulation defect and manages the hemorrhage., A 25-year-old pregnant woman develops disseminated intravascular coagulation (DIC) during a complicated delivery. This results in widespread activation of the clotting system, leading to both clotting and bleeding.She requires blood product transfusions and intensive care management to stabilize her condition., A 35-year-old woman with a history of von Willebrand disease experiences excessive bleeding after the delivery of her baby.She receives factor VIII concentrate to control the bleeding, which is caused by the deficiency of von Willebrand factor, essential for normal platelet function and blood clotting.

Documentation should include details of the hemorrhage, such as estimated blood loss, vital signs, laboratory results showing coagulation abnormalities (e.g., PT, PTT, fibrinogen, D-dimer), type and amount of blood products administered, and response to treatment. The specific coagulation defect should be documented based on clinical and laboratory findings.