cord prolapse Flashcards
1
Q
definition
A
Umbilical cord prolapse involves the umbilical cord descending ahead of the presenting part of the fetus
2
Q
complications
A
cord compression
cord spasm
foetal hypoxia
3
Q
Risk factors for cord prolapse include:
A
prematurity
multiparity
polyhydramnios
twin pregnancy
cephalopelvic disproportion
abnormal presentations e.g. Breech, transverse lie
4
Q
cause
A
artificial ROM
5
Q
signs
A
abnormal FHR
cord palpable vaginally
cord visible past introitus
6
Q
management of cord prolapse
A
push presenting part of fetus back into uterus
minimal handling of cord to prevent vasospasm and keep warm and moist
go on ‘‘all fours’’ / left lateral
tocolytics
refull bladder
c section
