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Cord Prolapse

This document discusses the diagnosis and management of cord prolapse, which occurs when the umbilical cord lies in front of the presenting fetal part after the rupture of membranes. Management includes relieving cord compression to prevent fetal hypoxia, administering oxygen to the mother, giving fluids and medications to relieve contractions, and preparing the mother for emergency c-section if needed to deliver the baby expeditiously and prevent further complications.

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NATHANIEL YERI
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67 views4 pages

Cord Prolapse

This document discusses the diagnosis and management of cord prolapse, which occurs when the umbilical cord lies in front of the presenting fetal part after the rupture of membranes. Management includes relieving cord compression to prevent fetal hypoxia, administering oxygen to the mother, giving fluids and medications to relieve contractions, and preparing the mother for emergency c-section if needed to deliver the baby expeditiously and prevent further complications.

Uploaded by

NATHANIEL YERI
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Cord prolapse

• This is when the cord lies in front of the


presenting part with ruptured membranes
• Diagnosis may be through vaginal examination
after membranes have ruptured where it is
felt in the vagina or it may be seen at the
vulva.
• Fetal heart rate deceleration may also be felt
on auscultation
Management
• Note the time and call for medical aid.
• Stop any oxytocin drip and position the mother to
relieve cord compression
• If the cord loop is visible at the vulva, clean it with
warm nomal saline and replace it in the vagina to
maintain warmth and prevent spasms and stop
drying
• Administer oxygen to the mother by mask 4l/minute
• Start iv fluids eg ringers lactate or normal saline
• Give salbutamol to relieve contractions
Relieving pressure
• Keep fingers inside the vagina to push up the presenting
part off the cord to relieve cord pressure which can cause
fetal hypoxia
• Raise the pelvis and buttocks of the mother to release
pressure of the presenting part on the cord.
• You can use pillows (exaggerated sims position)
• You can adopt a knee-chest position to turn the
gravitational force towards the diaphragm
• The foot of the bed may also be raised
• Bladder filling can also be help in managing the cord
prolapse whereby 500-700mls of sterile saline water is
filled through a folley catheter to the bladder
• This helps in reliving pressure from the cord by elevating
the presenting part 2cm above the the ischial spines
• The bladder should be drained in theatre before c/s
• Prepare the mother for emergency c/s
• If in 2nd stage you can hasten the delivery
• In community arrange for immediate referral for c/s and at
the same time carry out the immediate care to relieve
compression during the referral process

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