umbilical_cord_prolapse_flashcards
What is the definition of umbilical cord prolapse?
Descent of umbilical cord through the cervix either alongside or past the presenting part in the presence of ruptured membranes.
How can umbilical cord prolapse be prevented?
Avoid ARM if presenting part is mobile or high, or if cord is felt below presenting part on vaginal examination.
What should be done when umbilical cord prolapse is diagnosed?
Call for senior help, continue foetal monitoring with CTG, theatre for immediate delivery.
What should be done if the cord is out of the introitus?
Avoid handling the cord, keep it warm and moist, but do not force it back inside.
How can further cord compression be prevented?
Elevate the presenting part (manually or by filling the urinary bladder), re-position the mother into all fours, knee-to-chest, or left lateral position with head down.
When should tocolysis be considered in umbilical cord prolapse?
While preparing for C-section if there are still foetal heart rate abnormalities after attempts to prevent compression.
What is the recommended delivery method for umbilical cord prolapse?
ASAP delivery by the quickest route possible – Emergency CS (recommended if vaginal delivery is not imminent) or expedited vaginal delivery.
