Umbilical Cord Prolapse
Umbilical cord prolapse is an obstetric emergency that may have a negative impact on the baby. Prompt recognition is imperative to facilitate immediate delivery of the baby, usually by caesarean section. Whilst delivery is facilitated, management focuses around minimising pressure and exposure to the prolapsed cord thus reducing the risk of fetal hypoxia. Adverse outcomes are reported when there is delayed recognition of the event or delayed transfer to theatre for rapid delivery. Accurate documentation should occur with an accurate timeline of events particularly the time between diagnosis and delivery. Although this is an obstetric emergency the neonatal team need to be called promptly to provide any resuscitation that is required. In addition Apgar scores and cord gases will help assess the baby at delivery and target subsequent management.
KeywordsUmbilical cord prolapse Amniotomy Fetal distress Apgar scores Risk factors Litigation
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