Birthing Complications: CORD PROLAPSE

Question 1

Cord Prolapse

Answer 1

When the umbilical cord associates with ruptured membranes, blocking the exit of vaginal opening, may see it dangling out.

Question 2

The Umbilical Cord

Answer 2

Baby’s only source of oxygen; pressure on the cord will decrease O2 to baby, high risk of hypoxia.

Minimal handling to avoid vasospasm.

Question 3

Management

Answer 3

1x attempt to replace cord back into vagina, just into vulva entrance, using a dry pad

Knee-chest position whilst awaiting transport.

Lateral position on stretcher with hips raised as much as possible to relieve pressure on cord;

Use blanket in-between legs to preveent compression.

Question 4

Labour

Answer 4

If woman is in labour, use entonox to prevent pushing which could increase cord pressure.

If 2nd stage of labour and visible presenting part, encourage pushing.

Prepare for NLS in event of cord compression.

Question 5

Nuchal Cord

Answer 5

Cord wrapped around baby’s neck; contractions move baby down birthing canal and can cause cord tightening/hypoxia.

Use a few fingers to slip the nuchal cord over the baby’s head as the head crowns.