Umbilical cord prolapse: Difference between revisions

Revision as of 14:21, 22 March 2016

Occurs in 0.5% of pregnancies
Likely secondary to the presenting fetal part not filling enough of the lower uterus and allowing cord to present first during labor.^[1]
Risk factors^[1]
- Low birth weight
- Multiparity
- Fetal malpresentation

Presentation of ubmilical cord before fetal delivery (can be felt as pulsatile structure on exam)

Emergent OB/Gyn consult
Do NOT attempt to reduce cord - instead, elevate the presenting fetal part to reduce compression and transport to OR for emergent C-section^[2]
- Examiner who diagnosed umbilical cord prolapse must maintain umbilical decompression until pt is in OR
Place pt in knee-chest position and encourage not to push or cough^[1]

↑ ^1.0 ^1.1 ^1.2 Mercado J, Brea I, Mendez B, et al. Critical obstetric and gynecologic procedures in the emergency department. Emerg Med Clin North Am. 2013 Feb;31(1):207-36.
↑ Holbrook BD. Umbilical cord prolapse. Obstet Gynecol Clin North Am. 2013 Mar;40(1):1-14.

Authors:

Revision as of 07:17, 4 August 2015 (view source) Mholtz (talk \| contribs) No edit summary ← Older edit		Revision as of 14:21, 22 March 2016 (view source) Ostermayer (talk \| contribs) (Text replacement - "Category:OB/GYN" to "Category:OBGYN") Newer edit →
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