Name of the Condition

• Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified

Summary

• This condition occurs when the umbilical cord is wrapped around the fetus's neck during labor and delivery, but without causing any compression. It is known as a nuchal cord and may occur without adverse effects on the mother or baby.

Causes

• The exact cause is usually not preventable as it’s often due to fetal movement or excess amniotic fluid allowing more fetal movement, leading to the cord wrapping around the neck.

Risk Factors

• Increased fetal movement, longer umbilical cords, high levels of amniotic fluid, and multiple gestations can increase the likelihood of a nuchal cord.

Symptoms

• Most nuchal cords are asymptomatic, but close monitoring during labor can identify potential issues such as changes in fetal heart rate patterns.

Diagnosis

• Ultrasound can occasionally detect a nuchal cord before delivery, but it is most often identified during labor through electronic fetal monitoring or upon delivery.

Treatment Options

• Typically, treatment is not required unless there are signs of fetal distress. In such cases, careful monitoring is conducted, and interventions are made as necessary, such as changing the mother's position or, rarely, performing a cesarean delivery if there are complications.

Prognosis and Follow-Up

• The prognosis for this condition is typically very good if there is no compression of the cord. Regular prenatal visits are important to ensure the continued health of both mother and baby.

Complications

• While usually uneventful, if a nuchal cord leads to constriction, it can cause complications such as fetal distress or impaired fetal development.

Lifestyle & Prevention

• While not preventable, maintaining regular prenatal appointments and following the healthcare provider's instructions can help manage pregnancy and address any concerns early.

When to Seek Professional Help

• If there are concerns during pregnancy such as reduced fetal movement or unusual symptoms, contact a healthcare provider promptly.

Additional Resources

• American Pregnancy Association
• March of Dimes

Tips for Medical Coders

• Ensure that the code O69.81X0 is used specifically when there is an umbilical cord around the neck without compression and other specific conditions are not applicable or unspecified.
• Be cautious to differentiate this condition from cases where cord compression is present, which would require different coding.