9.8 Cord Prolapse Flashcards
1
Q
What is the fear with cord prolapse?
A
Fetal hypoxia due to compression by the presenting part.
2
Q
What is the most significant risk factor for cord prolapse?
A
abnormal lie after 37 weeks
(ie transverse, oblique, unstable)
(gives space for cord to prolapse below the presenting part)
3
Q
How is cord prolapse diagnosed?
A
suspected by fetal distress signs on CTG
diagnosed by VE
can confirm with speculum
4
Q
Management of a prolapsed cord?
A
emergency c-section
tocolytic eg terbutaline to minimise contractions
- not recommended to push cord back
- keep cord warm and wet
- avoid handling cord as this causes vasospasm
- can push presenting part of fetus back during contractions
- left lateral with hip pillow or knee-chest to use gravity
