OB - Childbirth

Question 1

Prolapsed Cord Treatment

Answer 1

• Place mother in knee-chest position
• Insert gloved hand into vagina & gently push presenting part off cord
• Cover exposed cord with wet saline dressing

Question 2

Breech or Footling Treatment

Answer 2

• Avoid compression of cord by presenting part
• Allow delivery to progress until baby’s waist appears
• Rotate baby to face down position (do not pull)
• If head does not deliver in 3 mins, insert gloved hand into vagina to create an air passage for infant
• As mother bears down, sweep head out of vagina