Unspecified infection of urinary tract in pregnancy, third trimester
ICD-10 O23.43 is a billable code used to indicate a diagnosis of unspecified infection of urinary tract in pregnancy, third trimester.
Unspecified urinary tract infections (UTIs) during the third trimester of pregnancy can pose significant risks to both the mother and fetus. UTIs are common in pregnant women due to physiological changes, including increased urinary stasis and hormonal influences that affect the urinary tract. Symptoms may include dysuria, frequency, urgency, and suprapubic pain. If left untreated, UTIs can lead to complications such as pyelonephritis, preterm labor, and low birth weight. Diagnosis typically involves urinalysis and urine culture to identify the causative organism. Treatment often includes antibiotics that are safe for use during pregnancy, such as nitrofurantoin or amoxicillin, while avoiding those contraindicated, like tetracyclines and fluoroquinolones. Close monitoring and follow-up are essential to ensure resolution of the infection and to mitigate risks to maternal and fetal health.
Documentation should include patient history, presenting symptoms, diagnostic tests performed, and treatment plans.
A pregnant patient presents with dysuria and frequency; urinalysis shows leukocytes and nitrites.
Consideration of antibiotic safety in pregnancy and potential fetal effects.
Detailed documentation of maternal and fetal health status, including any complications arising from the infection.
A high-risk pregnant patient with a history of recurrent UTIs presents with fever and flank pain.
Monitoring for potential complications such as preterm labor or fetal distress.
Performed when a UTI is suspected in a pregnant patient.
Document the reason for the culture and any previous UTI history.
Consider the implications of antibiotic resistance in pregnant patients.
Common symptoms include dysuria, increased frequency of urination, urgency, and suprapubic pain. Some women may also experience fever or flank pain.
