Cord Prolapse Flashcards
1
Q
Call for Help- Hospital
A
- 2222
- obstetric emergency
- SOAPS
- check resus
- extra help- suspected neonatal compromise
2
Q
At Home
A
- 999
- paramedic ambulance
- inform LW coordinator
3
Q
Management
A
- relieve pressure on the cord
- all fours positioning
- do not handle the cord
4
Q
Knee Chest Position
A
- enables gravity to draw the presenting part away from and off of the cord
5
Q
Digital Displacement
A
- press on the bony parts of the fetal head, avoiding cord and fontanelles
6
Q
Bladder Filling
A
- foley’s catheter- 500mls fluid
- clamp with Spencer Wells forceps or a cord clamp
7
Q
Exaggerated Simms Position
A
- left lateral with two pillows under the hip
- helps to move the fetal head off of the cord
8
Q
Immediate Care
A
- cannulate
- bloods- FBC, G+S, cross match
- fluids- 1L crystalloid
- prepare for theatre if FH auscultated
- pre-operative drugs
- drain bladder
- cord gases
9
Q
Omeprazole
A
40mg- IV
- decreases the amount of acid made in the stomach
10
Q
Sodium Citrate
A
30mls
- antacid- neutralise stomach contents
11
Q
Metoclopramide
A
10mg- IV bolus
- stimulates gastric emptying
12
Q
Ongoing Care- Mother
A
- additional emotional support
- support with feeding
- analgesia
- prophylactic antibiotics
13
Q
Ongoing Care- Neonate
A
- admission to NICU
- more regular observations
- help with temperature control
- additional care (gestation)
- feeding support
