Prolapsed cord
Prolapsed cord
Essential equipment
Essential equipment
Steps
Steps
Once identified on pelvic exam, insert a sterile gloved hand and lift presenting part off of cord
Do no remove hand and do not attempt to reduce the cord
Call for help: OB and NICU/Pediatrics/colleague/ancillary staff
Arrange for an emergency cesarean section. In the meantime, temporize
Place mother in knee-chest or deep Trendelenburg (head-down) position (keep the patient in this position). Encourage mother not to push or cough
Tocolytic therapy (Terbutaline, Nifedipine, Magnesium sulfate) can be administered to decrease uterine contractions and improve fetoplacental perfusion