Retained intrauterine contraceptive device in pregnancy
ICD-10 O26.3 is a billable code used to indicate a diagnosis of retained intrauterine contraceptive device in pregnancy.
Retained intrauterine contraceptive devices (IUDs) during pregnancy can lead to various complications, including miscarriage, preterm labor, and infection. The presence of an IUD can complicate the management of pregnancy, requiring careful monitoring and potential removal of the device. The risk of ectopic pregnancy is also increased in cases where an IUD is retained. Maternal care must be tailored to address these complications, particularly in patients with pre-existing conditions such as renal, cardiac, or respiratory issues. These conditions can exacerbate the risks associated with a retained IUD, necessitating a multidisciplinary approach to care. Regular ultrasounds and clinical assessments are essential to monitor fetal development and maternal health. The management plan may involve consultation with specialists, especially in high-risk cases, to ensure both maternal and fetal well-being throughout the pregnancy.
Detailed documentation of the patient's obstetric history, current pregnancy status, and any complications related to the retained IUD.
Management of a patient with a retained IUD presenting with abdominal pain or bleeding.
Consideration of the patient's wishes regarding IUD removal and the potential risks involved.
Comprehensive documentation of maternal-fetal assessments, including ultrasounds and evaluations of maternal health conditions.
High-risk pregnancies where the patient has underlying cardiac or renal conditions and a retained IUD.
Coordination of care with specialists to manage complex maternal health issues.
Used when surgical intervention is required to remove a retained IUD during pregnancy.
Document the indication for surgery, including complications related to the retained IUD.
Obstetricians should coordinate with surgical teams for optimal patient outcomes.
Document the patient's obstetric history, the presence of the IUD, any complications observed, and the management plan, including discussions about risks and patient consent.
