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Umbilical cord prolapse

Bradley D Holbrook1, Sharon T Phelan

  • 1Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, 1 University of New Mexico, Albuquerque, NM 87131-0001, USA. bholbrook@salud.unm.edu

Obstetrics and Gynecology Clinics of North America
|March 8, 2013
PubMed

Umbilical cord prolapse is an obstetric emergency that can have negative outcomes for the fetus. It is diagnosed by a palpable or visible cord and is often accompanied by severe, rapid fetal heart rate decelerations. Cases of cord prolapse should be delivered as soon as possible, usually by cesarean section. While awaiting delivery, the fetal presenting part should be elevated off the cord either manually or by filling the bladder. Although an untreated case of umbilical cord prolapse can lead to severe fetal morbidity and mortality, prompt and appropriate management leads to good overall outcomes.

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