What should be done in case of a prolapsed umbilical cord?

In the case of a prolapsed umbilical cord, placing the mother in a knee-chest position is the most effective action to take. This position helps to relieve pressure on the umbilical cord, which can become compressed during delivery if it is trapped between the fetal head and the birth canal. By having the mother adopt this position, gravity assists in minimizing cord compression, thereby improving blood flow and oxygen delivery to the baby.

Maintaining proper fetal oxygenation is paramount, and the knee-chest position can also encourage the fetal head to move away from the cord. This is crucial in preventing potential complications such as fetal distress or hypoxia.

Other actions, while important in general emergencies, do not specifically address the immediate risks associated with a prolapsed umbilical cord. For example, keeping the baby warm is vital after delivery but does not mitigate the situation at this stage. Applying pressure to the mother’s abdomen could risk further cord compression. Immediate transport without assistance may overlook the need for stabilization and management of the umbilical cord issue before moving the mother. Thus, the knee-chest position remains the best option for addressing a prolapsed cord effectively.