Name of the Condition

• Failed medical induction of labor

Summary

Failed medical induction of labor occurs when attempts to initiate labor using medications or other medical methods are unsuccessful, and the woman does not progress into active labor.

Causes

• The cervix may not be favorable or ripe for induction.
• Inadequate response to the medications used to induce labor.
• Incorrect dosing of induction agents.
• The presence of conditions such as cephalopelvic disproportion, where the baby's head is too large to pass through the mother's pelvis.

Risk Factors

• Previous cesarean delivery or uterine surgery.
• Induction attempted before the cervix is ripe.
• Obesity in the expecting mother.
• Excessive maternal age or very young maternal age.

Symptoms

• Absence of regular, effective uterine contractions.
• Lack of cervical dilation beyond the latent phase of labor.

Diagnosis

• Clinical assessment of cervical dilation (Bishop score).
• Monitoring the frequency and strength of uterine contractions.
• Observation of maternal and fetal condition.

Treatment Options

• Rest or changing induction methods (e.g., using different medications or mechanical methods).
• Cesarean delivery if labor does not progress and the health of the mother or fetus is at risk.
• Continued monitoring of maternal and fetal wellbeing.

Prognosis and Follow-Up

• The outcome is generally favorable if timely interventions, such as a cesarean section, are performed when necessary.
• Follow-up includes postpartum check-ups to ensure recovery and address any concerns.

Complications

• Increased likelihood of requiring cesarean delivery.
• Prolonged labor duration, leading to potential risks to the mother and baby, such as infection or fetal distress.

Lifestyle & Prevention

• Prenatal care to monitor fetal size and maternal health.
• Discussing induction risks and benefits with a healthcare provider to make informed decisions.

When to Seek Professional Help

• Signs of labor not progressing after induction attempts.
• Symptoms of maternal distress or discomfort.
• Any concerns about fetal movement or wellbeing.

Additional Resources

• American College of Obstetricians and Gynecologists (ACOG) website
• Local healthcare providers or maternity services for personalized information and support groups.

Tips for Medical Coders

• Ensure documentation clearly distinguishes between attempted induction and spontaneous labor.
• Verify the use of specific terms like "failed" and "induction" to accurately code O61.0.
• Common errors include confusing failure to progress in labor with failed induction—confirm the induction attempt and failure through reliable documentation.