Obstructed labor due to shoulder presentation, fetus 3

This code signifies a complication during childbirth where the baby's shoulder is presenting first, preventing normal vaginal delivery. This malpresentation leads to an obstruction of the birth canal, requiring intervention. The "3" in the code indicates this is the third fetus in a multiple gestation pregnancy.

Assign this code when documentation clearly states obstructed labor due to a shoulder presentation in the third fetus of a multiple pregnancy. This typically occurs when the presenting part is the shoulder, arm, or trunk, making vaginal delivery impossible without correction. Supporting documentation would include physician notes detailing the fetal presentation and the resulting labor obstruction.

• Ensure the documentation specifies "shoulder presentation" and "obstructed labor" for the third fetus.
• Do not confuse with other malpresentations (e.g., breech, transverse lie) that are not explicitly obstructing labor.
• Always sequence this code after the primary obstetric complication (e.g., O42.x for premature rupture of membranes if applicable) and before codes for the outcome of delivery.