Obstructed labor due to other malposition and malpresentation digital illustration

Obstructed labor due to other malposition and malpresentation Save


ICD-10 code: O64.8

Chapter: Pregnancy, childbirth and the puerperium

Understanding Obstructed Labor Due to Other Malposition and Malpresentation

Childbirth is a natural process, but sometimes, complications can arise, leading to obstructed labor. One of the causes of obstructed labor is malposition and malpresentation of the fetus. Malposition refers to the abnormal position of the fetus in the uterus, while malpresentation refers to the abnormal presentation of the fetus during delivery.

Malposition and malpresentation can cause prolonged labor, which can lead to maternal and fetal complications such as infection, fetal distress, and even maternal death. In this article, we will discuss obstructed labor due to other malposition and malpresentation.

  1. Breech presentation: Breech presentation is when the baby's buttocks or feet are positioned to come out first instead of the head. This can cause complications such as prolapsed umbilical cord, which can lead to fetal distress and even death. Cesarean delivery is usually recommended for breech presentation to avoid complications.
  2. Transverse lie: Transverse lie is when the baby is positioned sideways in the uterus, making it impossible for a vaginal delivery. Cesarean delivery is the only option for transverse lie to avoid complications such as fetal distress and maternal hemorrhage.
  3. Occiput posterior position: Occiput posterior position is when the baby's head is facing the mother's abdomen instead of the spine. This position can cause prolonged labor and increase the risk of maternal and fetal complications. Changing the mother's position during labor can sometimes help rotate the baby's position.
  4. Face presentation: Face presentation is when the baby's face is positioned to come out first instead of the head. This position can cause fetal distress, shoulder dystocia, and maternal lacerations. Cesarean delivery is usually recommended for face presentation to avoid complications.
  5. Compound presentation: Compound presentation is when the baby's hand or arm is positioned to come out with the head. This position can cause prolonged labor, fetal distress, and maternal lacerations. Cesarean delivery is usually recommended for compound presentation to avoid complications.

Obstructed labor due to malposition and malpresentation can be dangerous for both the mother and the baby. It is important to seek medical attention if you experience prolonged labor or if you suspect that your baby is in a malposition or malpresentation. Your healthcare provider can monitor your progress and recommend the best course of action to deliver your baby safely.