What is the management of cord prolapse on delivery? (3 main steps + components of each)
Answer
1. assess fetal viability
- check for cord pulsations
- if fetus already dead/too immature to survive/lethal anomaly, intervention for fetal reasons are inappropriate (allow vag deliv or c/s if transverse lie)
2. relieve cord compression
- if cord outside introitus, gently replace in vagina
- with hand in vagina, cradle cord in palm & use tips of fingers to elevate presenting part off of cord
- adjust maternal position to trendelenberg (head lower than pelvis) or knee-chest
3. method of delivery
- if cervix fully dilated & present part low, do assisted vag deliv
- if cervix not fully dilated/vag deliv dangerous, do immediate CS
Tags
#obgyn
Question
What is the management of cord prolapse on delivery? (3 main steps + components of each)
Answer
?
Tags
#obgyn
Question
What is the management of cord prolapse on delivery? (3 main steps + components of each)
Answer
1. assess fetal viability
- check for cord pulsations
- if fetus already dead/too immature to survive/lethal anomaly, intervention for fetal reasons are inappropriate (allow vag deliv or c/s if transverse lie)
2. relieve cord compression
- if cord outside introitus, gently replace in vagina
- with hand in vagina, cradle cord in palm & use tips of fingers to elevate presenting part off of cord
- adjust maternal position to trendelenberg (head lower than pelvis) or knee-chest
3. method of delivery
- if cervix fully dilated & present part low, do assisted vag deliv
- if cervix not fully dilated/vag deliv dangerous, do immediate CS
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