prolapsed umbilical cord

  1. what is a prolapsed umbilical cord?
    • descent of the umbilical cord into the lower uterine segment 
    • before the presenting part of the fetus
  2. what may the cord be?
    • visible at the introitus 
    • felt by the women in the vagina
  3. what is there a risk of with a prolapsed cord?
    cord compression and fetal hypoxia
  4. what is it important to do?
    • visually inspect the introitus 
    • gain consent
  5. what are the 3 types of prolapse?
    • occult prolapse
    • cord presentation 
    • cord prolapse
  6. what are the risk factors?
    • multiparity 
    • pre term
    • breech presentation 
    • multiple births 
    • polyhydramnios- excess membranes- allows cord to be swept down
    • unengaged presenting part
  7. what position should the pt be placed in?
    knee to chest position until ambulance is ready
  8. how should be cord be protected?
    • dry dressing held in place by underwear 
    • hands off cord
  9. how should the pt be taken to the ambulance/ stretcher if closer?
    • walk to ambulance/ stretcher 
    • do not use carry chair
  10. what position should the pt be placed in on the stretcher?
    exaggerated left lateral position with hips slightly raised
Card Set
prolapsed umbilical cord
prolapsed umbilical cord