Maternal care for prolapse of gravid uterus, third trimester
ICD-10 O34.523 is a billable code used to indicate a diagnosis of maternal care for prolapse of gravid uterus, third trimester.
Maternal care for prolapse of the gravid uterus during the third trimester is a condition that requires careful monitoring and management due to the potential complications it poses for both the mother and the fetus. Prolapse of the gravid uterus can occur when the pelvic support structures are weakened, often exacerbated by factors such as previous cesarean deliveries, uterine scarring, or abnormalities of the pelvic organs. In the third trimester, the growing uterus can exert increased pressure on the pelvic floor, leading to symptoms such as pelvic heaviness, urinary incontinence, or difficulty with bowel movements. This condition necessitates a multidisciplinary approach, involving obstetricians and possibly maternal-fetal medicine specialists, to ensure the health and safety of both the mother and the developing fetus. Management may include pelvic floor exercises, lifestyle modifications, and in some cases, surgical intervention if conservative measures fail and the prolapse significantly impacts the quality of life or poses risks during delivery.
Documentation must include a thorough obstetric history, details of any previous surgeries, and current symptoms related to the prolapse.
Patients presenting with pelvic pressure, urinary incontinence, or abnormal fetal positioning due to uterine prolapse.
Consideration of the patient's delivery plan, especially if surgical intervention is required.
High-risk pregnancy documentation must include assessments of fetal well-being and maternal health status.
Management of patients with significant uterine prolapse and other high-risk factors such as multiple gestations or history of preterm labor.
Close monitoring of fetal growth and development, as well as maternal complications.
Often performed in cases of significant uterine prolapse to ensure safe delivery.
Documentation must include indications for cesarean delivery related to prolapse.
Obstetricians must consider the implications of previous cesarean sections on current delivery plans.
Common symptoms include pelvic pressure, urinary incontinence, and difficulty with bowel movements. Patients may also experience discomfort during physical activity or prolonged standing.
