O71.02
Rupture of uterus before onset of labor, second trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
Rupture of the uterus before the onset of labor during the second trimester is a rare but serious obstetric complication. This condition involves a tear in the wall of the uterus that occurs before labor begins, posing risks to both the mother and the developing fetus. Prompt recognition and management are essential to prevent severe health consequences.
Causes & Symptoms
Clinical Causes: Previous uterine surgeries, such as cesarean sections or myomectomy Trauma or injury to the abdomen during pregnancy Congenital uterine abnormalities or defects Overdistension of the uterus, often due to multiple pregnancies or large fetal size Use of medications or procedures that induce uterine contractions prematurely Placenta previa or placental abruption increasing uterine stress Infections or inflammation affecting uterine integrity
Key Symptoms: Sudden and severe abdominal pain Vaginal bleeding or spotting Rapid heartbeat and low blood pressure indicating shock Signs of fetal distress, such as abnormal fetal heart rate patterns Palpable uterine tenderness or rigidity Possible loss of fetal heartbeat in some cases Cessation of uterine contractions before labor begins
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and diagnostic imaging. Healthcare providers may perform:
Treatment Protocols: Management of uterine rupture before labor is a medical emergency requiring immediate intervention. Treatment strategies may include:
Clinical Advice & FAQs
Billing Guidance
Is O71.02 a billable ICD-10 code?
Yes, O71.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O71.02?
Clinical documentation must specify the nature of Rupture of uterus before onset of labor, second trimester and any associated comorbidities for accurate reporting.
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