A prolapse of the cord is an irregular location of the cord in front of the preceding part of the fetus, the fetus so that it is compressed during the contraction and it comes to fetal hypoxemia.
The prolapsed umbilical cord may be
A prolapse of the cord is an irregular location of the cord in front of the preceding part of the fetus, the fetus so that it is compressed during the contraction and it comes to fetal hypoxemia. The prolapsed umbilical cord may be occult: Included in the uterus Obviously: Vorstehendeaus vaginal Neither is normal. Occult prolapse By the occult incident, the umbilical cord is often compressed by a shoulder or the head. A fetal heart rate patterns (monitoring of the fetus), which is reminiscent of an umbilical cord compression and progression to hypoxemia (z. B. marked bradycardia, significant variable decelerations) may be the only clue. a change in position of the pregnant woman may facilitates the pressure on the cord; However, if the abnormal fetal heart rate pattern persists, an immediate caesarean section is needed. Recognizable prolapse An open incident occurs with rupture of membranes and is more common in breech or transverse position. An open incident may occur at a skull location Also, especially if the amniotic sac jumps (spontaneous or iatrogenic), before the head is fixed in the pelvis. The treatment of an open prolapse begins with careful lifting of the preceding portion and then continuously keeping the prolapsed umbilical cord, to restore the fetal blood flow, while a moderate emergency caesarean section is made. to support the woman in knee-elbow position and give it unique terbutaline (0.25 mg iv), (d. Talk .: terbutaline n. is not approved in Germany for labor inhibition) can help to reduce labor.