Cord prolapse — relieve compression

Steps

1. Do not handle the cord or push it back.
2. Push presenting part up with fingers in the vagina.
3. Position: knee–chest, or exaggerated left lateral with head down.
4. Fill bladder with 500–750 ml saline via catheter; clamp it (empty before birth).
5. Stop oxytocin; consider terbutaline 250 micrograms SC.
6. Category 1 CS — or instrumental birth if fully dilated and quick.