Continuing pregnancy after intrauterine death of one fetus or more, third trimester
ICD-10 O31.23 is a billable code used to indicate a diagnosis of continuing pregnancy after intrauterine death of one fetus or more, third trimester.
O31.23 refers to the clinical scenario where a pregnancy continues despite the intrauterine death of one or more fetuses during the third trimester. This condition is particularly relevant in multiple gestations, such as twins or higher-order multiples, where the death of one fetus can lead to significant complications for the surviving fetus(es). The management of such pregnancies requires careful monitoring and may involve specialized interventions to address complications like twin-to-twin transfusion syndrome (TTTS), where blood flow is unevenly distributed between the fetuses. The risk of complications increases as the pregnancy progresses, necessitating close surveillance for signs of distress in the surviving fetus, as well as potential delivery planning. Clinicians must navigate the emotional and psychological aspects of this situation, providing support to the parents while ensuring optimal care for the remaining fetus(es).
Detailed documentation of fetal monitoring, interventions, and parental counseling is essential.
Management of a twin pregnancy where one fetus has died, monitoring for signs of TTTS.
Consideration of the psychological impact on the parents and the need for supportive care.
Comprehensive documentation of high-risk factors, including ultrasound findings and management strategies.
Assessment and management of TTTS in a twin pregnancy with intrauterine death.
Focus on advanced imaging and interventions to optimize outcomes for the surviving fetus.
Used when delivering a fetus after intrauterine death of one or more fetuses.
Document the delivery method and any complications encountered.
Obstetricians must be prepared for potential emotional support needs.
Documentation should include the status of each fetus, any complications such as TTTS, the management plan, and emotional support provided to the parents.
