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Cord prolapse

Cord below the presenting part after membranes rupture.

Source: RCOG GTG 50

Act

  1. Call for help; prepare category 1 CS.
  2. Don’t handle the cord; don’t push it back.
  3. Push presenting part up vaginally.
  4. Knee–chest or left lateral head-down.
  5. Fill bladder 500–750 ml saline if delay/transfer.
  6. Stop oxytocin; terbutaline 250 mcg SC if CTG abnormal.
  7. Fully dilated and quick: instrumental birth.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.