Seth Corpur Ni Umbilical Cord Prolapse DESCRIPTION Umbilical cord prolapse is a complication that occurs prior to or during delivery of the baby. In a prolapse, the umbilical cord drops (prolapses) through the open cervix into the vagina ahead of the baby.Also is when the umbilical cord comes out of the uterus with or before the presenting part of the baby. PRE-DISPOSING -Fetal malpresentation abnormal fetal lie tends to result in space below the fetus FACTORS 1 he maternal pelvis, which can then be occupied by the cor. +Polyhydramnios, or an abnormally high amount of amniotic fluid +Prematurity likely related to increased chance of malpresentation «Low birth weight usually described as <2500 g at birth -Multiple gestation, or being pregnant with more than one fetus at a given time more likely to occur in the fetus that is not born first. -Spontaneous rupture of membranes about half of prolapses occur within 5 minutes of membrane rupture, two-thirds within 1 hour, 95% within 24 hours. COMPLICATIONS -Preterm labor and delivery Fetal distress (such as non-reassuring fetal heart rate) + Umbilical cord compression can cause abnormal fetal heart rate -Formation of true knots -Fetal Death NURSING Notity the Health Care Provider «Prepare for emergency C/S MANAGEMENT -apply sterite glove and insert two fingers into vagina to remove pressure of cord Give oxygen Lay mother in knee-chest position or trendelburg position se: descent of the umbilical cord past the presenting fetal Overt umbilical Further In this case, the cord is through the cervix and into or beyond the vagina. Overt iia card prolapse requires rupture of membranes. This isthe most common type Images and ord pralap Info Occult umbilical prolapse: descent ofthe umbilical cord alongside the presenting feta art Occult umbilical prolapse can Trendeburg Position tation: presence ofthe umbilical cord between the presenting fetal nes. In tis case, the cord has not passed the opening ofthe ix. in func presentation, the membranes arenct yet ruptured.