O68: Labor and delivery complicated by abnormality of fetal acid-base balance

O68 refers to Labor and delivery complicated by abnormality of fetal acid-base balance, encompassing critical labor and delivery events such as preterm labor, labor arrest, obstructed labor, fetal distress, perineal injuries, postpartum hemorrhage, and anesthesia complications during childbirth.

Symptoms

• Early or strong contractions – Signaling preterm labor (O60)
• Prolonged or stalled labor – Indicative of failed induction or labor abnormalities (O61–O63)
• Severe maternal bleeding – Seen with intrapartum or postpartum hemorrhage (O67, O72)
• Fetal heart rate decelerations – Indicating fetal distress (O76, O77)
• Umbilical cord prolapse – A serious emergency under O69

Diagnosis

Diagnosis of Labor and delivery complicated by abnormality of fetal acid-base balance involves continuous intrapartum monitoring, cervical checks, fetal heart rate monitoring (CTG), assessment of uterine contractions, blood loss estimation, ultrasound imaging, and laboratory tests to monitor maternal and fetal status during labor and delivery.

ICD10 Code Usage

ICD10 code O68 is critical for obstetricians, labor and delivery nurses, and maternal-fetal medicine teams for accurately recording labor complications, planning emergency interventions, and ensuring optimal maternal and neonatal outcomes.

Related Codes

• O60 – Preterm labor
• O61 – Failed induction of labor
• O62 – Abnormalities of forces of labor
• O63 – Long labor
• O64 – Obstructed labor due to malposition and malpresentation of fetus
• O65 – Obstructed labor due to maternal pelvic abnormality
• O66 – Other obstructed labor
• O67 – Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
• O69 – Labor and delivery complicated by umbilical cord complications
• O70 – Perineal laceration during delivery
• O71 – Other obstetric trauma
• O72 – Postpartum hemorrhage
• O73 – Retained placenta and membranes, without hemorrhage
• O74 – Complications of anesthesia during labor and delivery
• O75 – Other complications of labor and delivery, not elsewhere classified
• O76 – Abnormality in fetal heart rate and rhythm complicating labor and delivery
• O77 – Other fetal stress complicating labor and delivery

FAQs

Q1: What is ICD10 code O68?
A: It refers to Labor and delivery complicated by abnormality of fetal acid-base balance, which covers labor abnormalities, delivery trauma, postpartum complications, and fetal stress during the intrapartum period.

Q2: What causes failed induction of labor (O61)?
A: Causes include unfavorable cervix, ineffective uterine contractions, cephalopelvic disproportion, or fetal malposition.

Q3: What is postpartum hemorrhage (O72)?
A: Excessive bleeding after delivery, often due to uterine atony, retained placenta, or trauma.

Q4: How is fetal heart rate abnormality during labor (O76) managed?
A: Management may involve oxygen administration, maternal repositioning, fluid resuscitation, amnioinfusion, or emergency cesarean delivery.

Q5: How serious are umbilical cord complications (O69)?
A: They can lead to acute fetal distress, requiring immediate obstetric intervention to prevent stillbirth or hypoxic injury.

Conclusion

ICD10 code O68 enables comprehensive documentation and management of Labor and delivery complicated by abnormality of fetal acid-base balance, supporting safe delivery practices, timely interventions, and improved outcomes for both mother and child during labor and childbirth.