In simple words: The baby's umbilical cord was wrapped around its neck during labor and delivery of the fifth baby of a multiple birth, causing compression of the cord.

Labor and delivery complicated by cord around neck, with compression, fetus 5.

Example 1: A patient pregnant with quintuplets goes into labor. During delivery of the fifth baby, the umbilical cord is found wrapped around the baby's neck, causing compression. This condition is coded as O69.1XX5., A woman pregnant with five babies has a vaginal delivery.While delivering the fifth baby, the physician discovers the umbilical cord wrapped tightly around the baby's neck, resulting in some compression. This is documented and coded as O69.1XX5., A pregnant woman carrying quintuplets delivers four babies without complications. However, during the delivery of the fifth baby, the umbilical cord is wrapped around the baby’s neck causing compression which is noted in the record and coded as O69.1XX5.

Documentation should clearly state that the cord was around the neck of fetus 5, and that compression was present. Details about the severity of the compression and any resulting fetal distress should also be noted.

** The code O69.1XX5 specifically refers to a complication occurring during the delivery of the fifth fetus in a multiple gestation pregnancy.It is essential to ensure correct sequencing of the diagnosis codes on the maternal record and use of any additional codes for associated complications.