Maternal care for prolapse of gravid uterus
ICD-10 O34.52 is a billable code used to indicate a diagnosis of maternal care for prolapse of gravid uterus.
Maternal care for prolapse of the gravid uterus refers to the management and monitoring of a condition where the uterus descends into the vaginal canal during pregnancy. This condition can arise due to various factors, including weakened pelvic support structures, previous cesarean deliveries, or uterine scarring from prior surgeries. The prolapse may lead to complications such as urinary incontinence, pelvic pressure, and discomfort. Care for this condition typically involves a multidisciplinary approach, including obstetricians and physical therapists, to strengthen pelvic floor muscles and provide supportive measures. Regular monitoring is essential to assess the progression of the prolapse and to determine the appropriate timing for delivery, especially if surgical intervention is required. The management plan may also include counseling regarding delivery options, as vaginal delivery may be complicated by the presence of a prolapsed uterus.
Detailed documentation of the patient's obstetric history, current symptoms, and management plan is essential. This includes noting any previous surgeries, such as cesarean sections, and their impact on the current condition.
Common scenarios include a pregnant patient presenting with pelvic pressure and urinary incontinence, or a patient with a history of uterine surgery experiencing increased symptoms during pregnancy.
Consideration must be given to the timing of delivery and the potential need for surgical intervention, which should be clearly documented.
High-risk pregnancy documentation must include detailed assessments of maternal and fetal well-being, as well as any interventions planned or performed.
Complex maternal-fetal scenarios may involve managing a patient with a prolapsed uterus who also has other risk factors such as gestational diabetes or hypertension.
High-risk coding requires careful attention to detail and comprehensive documentation of all aspects of care.
Used when a cesarean delivery is performed due to complications from a prolapsed uterus.
Documentation must include the indication for cesarean delivery and the presence of the prolapse.
Obstetricians should document the decision-making process regarding delivery method.
Common symptoms include pelvic pressure, urinary incontinence, and discomfort during physical activity. Patients may also report difficulty with bowel movements or a sensation of heaviness in the pelvic area.
