15 - Obs - Obs Emergencies - Cord Prolapse Flashcards
1
Q
Occurs after ? have ?, umbilical cord descends below ? part. Untrt, cord ? or go into ?-> ? baby. 1/500 delivs.
A
membranes have ruptured presenting compressed spasm hypoxic
2
Q
Risk Factors and Prevention
Risks: ? labour, ? presx, ?, abnormal ? and ? preg. >50% occur at ????.
Diagnosed when ??? abnormal and cord ? vaginally/appears at ?. Delivering breech by c sec has ? incidence.
A
preterm breech polyhydramnios lie multiple AROM FHR palpated introitus decreased
3
Q
Management
Initially prevent presx part from ? cord, push ? w examining ?, or tocolytics eg ? given. If cord out of ?, keep warm and ?, don’t force back in. Pt on ? ?, prep for ?. Immed ? ? normally done, but instrumental apprt if ? dilated and head ?. Fetal mort rare.
A
compressing up finger terbutaline introitus moist all fours delivery CS fully low
