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PROLAPSE
Isharyah Sunarno
Definition
Cord prolapse : descent of the
umbilical cord through the cervix
Definition
Cord presentation : the presence of
one or more loops of umbilical cord
Background
Incidence : 0.1 - 0.6 %.
Breech presentation : > 1%.
The incidence is higher in multiple gestations.
Cases of cord prolapse appear consistently in
Background
Umbilical cord prolapse happens when
rupture
of the
amniotic
sac
puts
pressure
on the
cord
O2 &
blood
supplies
to the
fetus are
cut-off
fetus
moves
downwar
d into the
pelvis
cord
prolaps
e
Brain
damage /
death
Background
Asphyxia hypoxic-ischaemic
fetus and
umbilical arterial vasospasm secondary to
Clinical areas
Multiparity
LBW < 2.5 KG
Prematurity < 37 wks
Fetal congenital anomalies
Breech
Transverse, oblique &
unstable lie
Second twin
Polyhidramnios
Unengaged presenting part
Low placenta, other
abnormal placentation
Fetus of male gender
Artificial rupture of
membranes
Vaginal manipulation of the
fetus with ruptured
membranes
External cephalic version
Internal podalic version
Stabilising induction of
labour
Applying fetal scalp
electrode (insertion of
uterine pressure
transducer
Amniotomy
Amniotomy increases the production of,
MANAGEMENT
Thank
You