Name of the Condition

• Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified

Summary

Obstructed labor due to incomplete rotation of the fetal head is a childbirth complication where the baby’s head does not rotate properly during labor, often causing a delay in delivery. This condition can pose risks to both the mother and baby if not managed promptly.

Causes

The condition typically arises from mechanical issues during childbirth, such as fetal position or size relative to the mother's pelvis. This can occur if the baby's head is too large, the pelvis is too small, or due to abnormal positioning.

Risk Factors

• First-time pregnancies
• Pre-existing pelvic abnormalities
• Large fetal size (macrosomia)
• Post-term pregnancies
• Incorrect fetal positioning

Symptoms

• Prolonged labor
• Abnormal labor patterns or lack of progress
• Intense pain during contractions
• Fetal distress indicators

Diagnosis

• Physical examination by a healthcare provider
• Electronic fetal monitoring
• Ultrasound to determine fetal position and assess the pelvis

Treatment Options

• Manual rotation of the fetal head
• Use of assistive devices like forceps or vacuum
• Cesarean section in cases where manual intervention is ineffective

Prognosis and Follow-Up

With appropriate medical intervention, the prognosis is generally good for both mother and baby. Regular follow-up visits are important to monitor recovery and ensure no complications develop postpartum.

Complications

If left untreated, this condition can lead to:

• Fetal distress or injury
• Increased risk of infection
• Uterine rupture
• Postpartum hemorrhage

Lifestyle & Prevention

• Regular prenatal check-ups to monitor fetal growth and position
• Maintaining a healthy weight throughout pregnancy
• Attending childbirth education classes

When to Seek Professional Help

Seek immediate medical attention if there's:

• No progression in labor
• Severe or unusual pain
• Signs of fetal distress such as decreased fetal movement

Additional Resources

• American College of Obstetricians and Gynecologists (ACOG)
• International Childbirth Education Association (ICEA)
• Lamaze International

Tips for Medical Coders

• Ensure specificity when recording the condition, using the correct ICD-10 code.
• Double-check that the documentation supports the code O64.0XX0, focusing on the labor obstruction type.
• Avoid coding errors by distinguishing between obstructed labor types related to different causes.