Umbilical Cord Prolapse ; umbilical cord slips through the cervix into vagina ahead of baby скачать в хорошем качестве

Umbilical Cord Prolapse ; umbilical cord slips through the cervix into vagina ahead of baby

Umbilical cord prolapse is a rare but critical obstetric emergency where the umbilical cord slips ahead of the baby into the birth canal, potentially compressing the cord and cutting off oxygen and blood flow to the fetus. 🚨 Why It’s Dangerous The cord can get squeezed between the baby and the cervix or vaginal walls Each uterine contraction may further compress the cord This can lead to fetal hypoxia, brain injury, or even stillbirth if not treated immediately2 🧠 Types of Cord Prolapse Type Description Overt Cord descends past the presenting part into the vagina after membrane rupture Occult Cord lies alongside the presenting part but isn’t visible or palpable externally Funic Presentation Cord is between the fetus and cervix but membranes are still intact 📉 Risk Factors Breech presentation Prematurity Polyhydramnios (excess amniotic fluid) Multiple gestation Artificial rupture of membranes High fetal station or unengaged presenting part 🔍 Diagnosis Sudden fetal heart rate decelerations or bradycardia Visible or palpable cord during vaginal exam Often occurs within minutes to an hour after membrane rupture2 🛠️ Emergency Management Call for immediate help Manual elevation of the presenting part to relieve pressure Maternal repositioning: knee-chest or Trendelenburg position Bladder filling to lift the fetus off the cord Emergency cesarean section is usually required 📈 Prognosis In-hospital survival rates are high (mortality ~3%) Outside hospital settings, mortality risk increases significantly Long-term risks include hypoxic-ischemic encephalopathy (HIE) and cerebral palsy #UmbilicalCord #Prolapse