Umbilical cord prolapse

Question 1

What is umbilical cord prolapse?

Answer 1

Obs emergency

umbilical cord presenting ahead of presenting part of fetus

Question 2

How can umbilical cord prolapse cause death>

Answer 2

compressed of the cord or cord spasm = fetal hypoxia = damage = or death

Question 3

Risk factors for fetal umbilical cord prolapse

Answer 3

Prematurity
multiparity
polyhydramnios
twin pregnancy
cephalopelvic disproportion
abnormal presentations

Question 4

How can you confirm umbilical cord prolapse?

Answer 4

Fetal heart rate abnormality

cord palpable vaginally

Question 5

How to manage umbilical cord prolapse?

Answer 5

Presenting party of fetus pushed back to avoid compression

if cord is PAST level of INTROITUS - keep warmd and moist to avoid spasm

go on ALL FOURS until CS

• tocolytics to reduce uterine contractions
• retrofilling of bladder can elevate presenting part

=== C section (unless cervix pully dilated baby is low)