Understanding Failed Induction of Labor (F): This resource provides information on unsuccessful labor induction, including clinical documentation tips for diagnosis coding (ICD-10) and common reasons for induction failure. Learn about management strategies, alternative delivery options, and potential complications related to a failed induction of labor. Explore resources for healthcare professionals, including best practices for patient care and accurate medical coding.
Also known as
Failed induction of labor
Labor induction unsuccessful after appropriate methods.
Obstetric complications
Problems arising during labor, like prolonged stages.
Other complications of labor
Unspecified difficulties during labor and delivery.
Supervision of high-risk pregnancy
Care provided for pregnancies with potential complications.
Follow this step-by-step guide to choose the correct ICD-10 code.
Was the induction of labor attempted?
No
Do NOT code failed induction. Review clinical documentation for alternative diagnosis.
Yes
Did labor progress to active phase?
When to use each related code
| Description |
|---|
| Labor induction unsuccessful after attempts. |
| Slow or difficult labor progression despite contractions. |
| Stopping labor progression due to maternal/fetal issues. |
Distinguishing prolonged labor from failed induction is crucial for accurate coding. Documentation must clearly support induction failure diagnosis.
Coding requires specifying the induction method (e.g., oxytocin, prostaglandins). Lack of documentation leads to coding errors and claims denials.
The underlying reason for induction (e.g., post-term pregnancy) impacts coding and DRG assignment. Missing documentation affects reimbursement.
Q: What are the most common reasons for a failed induction of labor (IOL) and how can I minimize these risks in my practice?
A: Failed induction of labor, also known as unsuccessful labor induction, occurs when cervical ripening and uterine contractions are insufficient to achieve vaginal delivery after attempted induction. Several factors contribute to IOL failure, including an unfavorable cervix (Bishop score <6), advanced maternal age, nulliparity, obesity, fetal macrosomia, and incorrect use or choice of induction agents (e.g., prostaglandins, oxytocin). Minimizing these risks involves careful patient selection, thorough assessment of Bishop score and other relevant factors, and individualized induction protocols. Consider implementing a standardized protocol for cervical ripening, close monitoring of fetal and maternal well-being throughout the induction process, and exploring how different induction agents and techniques can be tailored to specific patient characteristics. Learn more about predicting successful induction of labor with the Bishop score.
Q: My patient experienced a failed induction of labor. What are the next steps in management, and how do I counsel her regarding the risks and benefits of Cesarean section versus repeat induction?
A: After a failed induction of labor, also sometimes referred to as induction failure, management depends on maternal and fetal status, the reason for the failed induction, and patient preferences. If the cervix remains unfavorable and there are no contraindications, a repeat induction with alternative methods (e.g., different prostaglandins, Foley catheter) might be attempted. However, if the cervix is favorable but adequate contractions aren't achieved with oxytocin, or if there are concerns about fetal well-being, Cesarean section is often the safest option. Counseling should focus on the risks and benefits of both Cesarean delivery and repeat induction, addressing potential complications such as infection, uterine rupture (especially with prior Cesarean), and neonatal respiratory distress. Explore how shared decision-making can empower patients in choosing the best course of action for their individual circumstances.
Patient presented for induction of labor at estimated gestational age of [gestational age] weeks. Reasons for induction included [specific indication for induction, e.g., post-term pregnancy, preeclampsia, gestational diabetes, oligohydramnios, fetal growth restriction, nonreassuring fetal status]. Cervical ripening was initiated with [cervical ripening method, e.g., prostaglandin E2 gel, Foley catheter, misoprostol] at [time]. Subsequently, oxytocin augmentation was commenced at [time] and titrated according to protocol. Despite adequate uterine contractions, documented as [frequency and intensity of contractions, e.g., every 2-3 minutes, strong to palpation], and a trial of labor lasting [duration of trial of labor], adequate cervical change was not achieved. Cervical exam at [time] revealed [cervical exam findings, e.g., dilation, effacement, station]. Fetal heart rate monitoring remained Category I throughout the induction. Diagnosis of failed induction of labor was made. After discussion of risks and benefits, the patient was consented for and proceeded with a primary [mode of delivery, e.g., Cesarean section]. Postpartum course was unremarkable. Discharge planning includes [postpartum care instructions, e.g., pain management, breastfeeding support, incision care, follow-up appointments].