Name of the Condition

• Maternal care for prolapse of gravid uterus, second trimester
• Technical term: Uterine prolapse during pregnancy, second trimester

Summary

• This condition involves the descent of the uterus into or through the vaginal canal during the second trimester of pregnancy, requiring specialized maternal care.

Causes

• The primary cause is the weakening of pelvic floor muscles and ligaments, often due to hormonal changes and increased pressure from the growing uterus during pregnancy.

Risk Factors

• Factors include advanced maternal age, multiple pregnancies, previous childbirths, obesity, and congenital weakness of pelvic structures.

Symptoms

• Symptoms may include a sensation of pressure or fullness in the pelvis, lower back pain, vaginal bulging, urinary incontinence, and difficulty with bowel movements.

Diagnosis

• Typically diagnosed through a physical examination. Imaging studies, such as ultrasounds, may be used to assess severity and plan management.

Treatment Options

• Treatment may include pelvic floor exercises, use of a pessary to support the uterus, or, in severe cases, surgical intervention following the delivery of the baby.

Prognosis and Follow-Up

• With appropriate management, most pregnancies proceed successfully. Regular monitoring and follow-up appointments are crucial to ensure maternal and fetal well-being.

Complications

• Potential complications can include preterm labor, infections, and further pelvic organ prolapse if not properly managed.

Lifestyle & Prevention

• To manage or prevent uterine prolapse, pregnant women may benefit from pelvic floor strengthening exercises, maintaining a healthy weight, and avoiding heavy lifting.

When to Seek Professional Help

• Immediate medical attention is warranted if there are severe symptoms, such as sudden urinary retention, considerable discomfort, or signs of preterm labor.

Additional Resources

• For further information, consult resources like the American College of Obstetricians and Gynecologists (ACOG) and pregnancy support groups.

Tips for Medical Coders

• Ensure accurate documentation of the trimester to differentiate from other ICD codes specific to different trimesters.
• Double-check coding for related conditions such as urinary incontinence or multiple gestations, as this can affect the primary or secondary diagnosis coding.