Name of the Condition

• Infections of other parts of urinary tract in pregnancy, second trimester
• ICD-10 Code: O23.32

Summary

Infections of the urinary tract during the second trimester of pregnancy refer to bacterial infections that occur in parts of the urinary system, excluding the kidneys and bladder. These infections can affect the urethra or other surrounding tissues, causing discomfort and potential complications if left untreated.

Causes

• Bacterial infections, commonly from bacteria such as E. coli that ascend through the urethra.
• Changes in the urinary tract during pregnancy, including hormonal changes and compression by the growing uterus, which can lead to incomplete bladder emptying and bacterial growth.

Risk Factors

• Previous history of urinary tract infections (UTIs).
• Pregnancy-related changes in the urinary system.
• Structural abnormalities in the urinary tract.
• Poor hygiene or wiping habits.
• Increased sexual activity.

Symptoms

• A burning sensation during urination.
• Frequent urination or an urgent need to urinate.
• Lower abdominal or pelvic pain.
• Cloudy or strong-smelling urine.
• Fever or chills might indicate a more severe infection.

Diagnosis

• Urinalysis to detect bacteria or pus cells.
• Urine culture to identify the specific bacteria causing the infection.
• Physical examination and review of symptoms.

Treatment Options

• Antibiotics that are safe for use during pregnancy to eradicate the infection.
• Increased fluid intake to help flush bacteria from the urinary tract.

• Rest and proper hydration are advised to support recovery.

  Prognosis and Follow-Up

• With appropriate antibiotic treatment, UTIs in the second trimester usually resolve without long-term issues.
• Follow-up urine tests might be necessary to ensure the infection has cleared.
• Regular prenatal check-ups to monitor for any recurrence of infection.

Complications

• Possible progression to more severe infections, like pyelonephritis, if left untreated.
• Potential risks to the pregnancy, such as preterm labor or low birth weight.

Lifestyle & Prevention

• Drink plenty of water to maintain urinary health.
• Practice proper hygiene, such as wiping front to back after using the toilet.
• Urinate regularly and do not hold urine for extended periods.
• Cranberry supplements (consult healthcare provider) may be beneficial.

When to Seek Professional Help

• Appearance of symptoms such as burning during urination, fever, or pelvic pain.
• Any signs of infection to prevent complications affecting the pregnancy.

Additional Resources

• American College of Obstetricians and Gynecologists
• March of Dimes

Tips for Medical Coders

• Ensure accurate trimester coding; specify O23.32 for the second trimester.
• Verify the documentation supports the diagnosis of a urinary tract infection in pregnancy and does not include kidney or bladder-specific infections, as different codes may apply.
• Common errors include incorrect trimester code or failing to distinguish between bladder/kidney infections and other urinary tract infections.