Retained intrauterine contraceptive device in pregnancy, third trimester
ICD-10 O26.33 is a billable code used to indicate a diagnosis of retained intrauterine contraceptive device in pregnancy, third trimester.
Retained intrauterine contraceptive devices (IUDs) during pregnancy can lead to various complications, particularly in the third trimester. The presence of an IUD can increase the risk of miscarriage, preterm labor, and infection. In the third trimester, the risks may escalate, as the device can interfere with the normal progression of labor and delivery. Maternal care must be closely monitored, especially for women with pre-existing conditions such as renal, cardiac, or respiratory issues, as these can complicate the management of a retained IUD. The clinical approach typically involves careful assessment through ultrasound to determine the position of the IUD and its potential impact on the fetus. If the IUD is found to be retained, the healthcare provider must weigh the risks of removal against the potential complications of leaving it in place. This decision-making process is crucial, particularly for high-risk pregnancies, where maternal health conditions may further complicate the situation. The management plan should include multidisciplinary collaboration to ensure optimal outcomes for both mother and child.
Documentation must include details of the IUD's presence, maternal health status, and any complications observed.
Management of retained IUDs in women with pre-existing conditions such as hypertension or diabetes.
Consideration of the risks of removal versus retention of the IUD, especially in high-risk pregnancies.
Detailed records of fetal monitoring and maternal health assessments are essential.
High-risk pregnancies where the presence of an IUD may exacerbate existing maternal conditions.
Close monitoring of both maternal and fetal health, with a focus on potential complications.
Used when documenting the insertion of an IUD prior to pregnancy.
Documentation of the procedure and patient consent.
Obstetricians should ensure clear records of the patient's contraceptive history.
Documentation should include the presence of the IUD, any complications, maternal health conditions, and the decision-making process regarding management.
