Cord prolapse is an
obstetric emergency during
pregnancy or labour that endangers the life of the fetus. It occurs when the
umbilical cord presents itself outside of the
uterus while the
fetus is still inside. It can happen when the water breaks – with the gush of water the cord comes along. Usually, thereafter the fetus will engage and squash the cord, cutting off oxygen supplies and leading to
brain damage of the fetus, or
stillbirth. Before that happens, the baby must be delivered quickly by
caesarean section. In the meantime, the woman adopts the knee-elbow position, and an attendant reaches into the
vagina and pushes the presenting part (usually the head) back in so that it does not suffocate the cord. It is useless to try to push the cord back in.
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