Adult Prolapsed Umbilical Cord

Question 1

Adult Prolapsed Umbilical Cord - Pt positioning?

Answer 1

Hands and knees until transporting

Left lateral recumbent with hips raised during transport

Question 2

Adult Prolapsed Umbilical Cord - Imminent delivery?

Answer 2

Prepare for delivery

Anticipate extensive neonatal resuscitation

Question 3

Adult Prolapsed Umbilical Cord - Actions during transport?

Answer 3

Treat hypotension with 20ml/kg fluid

Insert gloved hand and lift fetus off cord

Question 4

Adult Prolapsed Umbilical Cord - Patient safety considerations?

Answer 4

Do not pull on the cord
Minimize handling of the cord
No not attempt to push cord back into vagina