Cord Prolapse

Cord prolapse occurs when a part of the umbilical cord falls in front of the presenting baby. It

 

Risk factors include:

Breech presentation

pelvice tumours or fibroids

contracted pelvis

premature ruptures of membranes

 

Management

Need to assess maternal vs HR

Is the fetus alive? Is it viable by gestational age?

Rule out lethal anomaly

Give oxygen, start an IV, and perform an abdominal exam and pelvic exam.

Relieve cord compression. If the cord is outside the introoitus, gently place it back inside the vagina. Manipulation or cold can cause vasospasm.