Prolapsed umbilical cord
Descent of the umbilical cord into the vagina before the presenting part (see Umbilical cord prolapse, page 86)
May occur any time after the membranes rupture, especially if the presenting part isn’t fitted firmly in the cervix
AlertUmbilical cord prolapse is an emergency requiring prompt action to save the fetus; the cord may become compressed between the fetus and maternal cervix or pelvis, thus compromising fetoplacental perfusion.
Causes
Premature rupture of membranes
Fetal presentation other than cephalic
Placenta previa
Intrauterine tumors preventing the presenting part from engaging
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
