How do you relieve pressure from a prolapsed cord?
Management and Treatment Umbilical cord prolapse is an acute obstetric emergency that requires immediate delivery of the baby. The route of delivery is usually by cesarean section. The doctor will relieve cord compression by manually elevating the fetal presentation part until cesarean section is performed.
How do you manage a prolapsed umbilical cord?
It should be managed as follows:
- Avoid handling the cord to reduce vasospasm.
- Manually elevate the presenting part by lifting the presenting part off the cord by vaginal digital examination.
- Encourage into left lateral position with head down and pillow placed under left hip OR knee-chest position.
What increases the risk for a prolapsed umbilical cord?
Conclusion: Abnormal fetal presentation, multiparity, low birth weight, prematurity, polyhydramnios, and spontaneous rupture of membranes, in particular with high Bishop scores, are risk factors for umbilical cord prolapse.
How do you reduce umbilical cord compression?
Management options include: Amnioinfusion: If the level of amniotic fluid is low then saline solution can be introduced into the mother’s uterus to relieve the pressure that can lead to umbilical cord compression.
What does a prolapsed umbilical cord feel like?
You may feel the cord in your vagina or your health professional may feel it during a vaginal exam. For some women, the only sign of a prolapsed umbilical cord is that the baby has an unusual heart rate. An unusual heart rate in your unborn baby can occur in up to 67% of prolapsed umbilical cord cases.
Who is at risk for umbilical cord prolapse?
Can You Feel cord prolapse?
A prolapsed umbilical cord can be diagnosed at a medical examination. You may feel the cord in your vagina or your health professional may feel it during a vaginal exam. For some women, the only sign of a prolapsed umbilical cord is that the baby has an unusual heart rate.