O62.1
Secondary uterine inertia
Clinical Classification Guidelines
Inclusion Terms
- Arrested active phase of labor
- Secondary hypotonic uterine dysfunction
Medical Intelligence & Overview
Secondary uterine inertia, also known as secondary hypotonic uterine dysfunction, is a condition that can occur during labor. It involves a decrease in the strength or frequency of uterine contractions after a period of normal labor progression. This interruption can slow or halt the labor process, often leading to concerns about the well-being of both mother and baby. Recognizing and managing this condition is essential for a safe delivery experience.
Causes & Symptoms
Clinical Causes: Exhaustion of the uterus after prolonged labor Overdistension of the uterus due to a large baby or multiple pregnancies Infections that weaken uterine contractions Use of certain medications, such as tocolytics or anesthesia agents Maternal fatigue or dehydration Hormonal imbalances that affect uterine contractions Previous uterine surgeries or scarring Placental abnormalities or previa
Key Symptoms: Weak or infrequent contractions following a period of active labor Prolonged labor with little progress Fetal distress signs, such as abnormal heart rate patterns Maternal fatigue and dehydration symptoms Decreased intensity of contractions over time Inadequate cervical dilation despite labor efforts Absence of descent or rotation of the baby
Diagnostic & Treatment
Diagnosis Path: Detailed obstetric history to understand labor progression Regular uterine contraction monitoring using external tocodynamometry or intrauterine pressure devices Assessment of fetal well-being through electronic fetal monitoring Pelvic examinations to evaluate cervical dilation and fetal positioning Ultrasound imaging if complications or malpresentations are suspected Laboratory tests to identify infections or other contributing factors
Treatment Protocols: Restoring maternal hydration and energy through IV fluids and nutrition Administration of oxytocin or other uterotonics to stimulate contractions Manual stimulation of the nipples to increase endogenous oxytocin levels Monitoring fetal status continuously to detect distress Adjusting or stopping medications that may impair contractions Considering operative delivery options like assisted vaginal delivery or cesarean section if labor does not progress Providing supportive care and reassurance to the mother
Clinical Advice & FAQs
Billing Guidance
Is O62.1 a billable ICD-10 code?
Yes, O62.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O62.1?
Clinical documentation must specify the nature of Secondary uterine inertia and any associated comorbidities for accurate reporting.
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