prolapsed umbilical cord

what is a prolapsed umbilical cord?
- descent of the umbilical cord into the lower uterine segment
- before the presenting part of the fetus
what may the cord be?
- visible at the introitus
- felt by the women in the vagina
what is there a risk of with a prolapsed cord?

cord compression and fetal hypoxia
what is it important to do?
- visually inspect the introitus
- gain consent
what are the 3 types of prolapse?
- occult prolapse
- cord presentation
- cord prolapse
what are the risk factors?
- multiparity
- pre term
- breech presentation
- multiple births
- polyhydramnios- excess membranes- allows cord to be swept down
- unengaged presenting part
what position should the pt be placed in?

knee to chest position until ambulance is ready
how should be cord be protected?
- dry dressing held in place by underwear
- hands off cord
how should the pt be taken to the ambulance/ stretcher if closer?
- walk to ambulance/ stretcher
- do not use carry chair
what position should the pt be placed in on the stretcher?

exaggerated left lateral position with hips slightly raised

Author

davidgoddard93

346950

Card Set

prolapsed umbilical cord

Description

prolapsed umbilical cord

Updated

2019-05-13T19:30:46Z