Umbilical Cord Prolapse

Umbilical cord prolapse is quite a rare occurrence -- in four out of a thousand deliveries. The reason you have heard about it and are worried is because it is associated with fetal mortality.

The reason of cord prolapse is that the pelvic cavity is not filled before the presenting of the fetus at the time of membranes rupture. If the fetus does not enter the pelvic cavity at that time is considered abnormal. This occurs often when the baby lies in transverse and it is difficult to travel down the birthing canal. Breech babies are among the ones which are likely to experience cord prolapse. It occurs in 40-50% of breech babies. The times are even greater if the legs are flexed than if they are extended.

Other factors for cord prolapse are pre maturity, multiple pregnancies, long cord, fetal high blood pressure. It is not clear from research if umbilical cord prolapse is more common in hospital setting and is related to amniotomy.

If the case of cord prolapse, the most important thing is the baby to be delivered immediately. If the fetal heart beat is present and the fetus is sufficiently mature, delivery is mandatory.



In case the cervix is fully dilated, vaginal delivery is the best option. If not, the baby should be delivered by caesarean section.

Even if the umbilical cord is not pulsating, the baby can be still alive. There is a statistics that shows that even without cord pulsations, the fetal heart is audible and the infants survive.

It is important to relieve the pressure on the cord. This can be done when the mother is in upright position or in a knee-chest position.

Most children who have survived cord prolapse do not have any other complications related to this in later life.

 

 

Umbilical cord prolapse occurs in 25% before the mother is coming to hospital. To avoid such complications, it is important to monitor the fetal position. 11% of cord prolapse occur in compound presentations and 6% in breech presentations. Also it is importation to provide continual fetal heart rate monitoring.

As you see in the first video above a well trained midwife can spot the problem and recognize an umbilical cord prolapse. When the transition is quick and a c-section can help for immediate delivery.

Here is more information about the planned homebirth with a cord prolapse:

 

tracyeldred Please let us know, what part of labour were there signs of prolapse and what were the signs?

havecutekids (uploader) There were no signs, except some slight decels, which were not indicative of the situation. My midwife did a wonderful job, keeping her arm between the cord and his forehead the whole ride to the hospital!

 

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baby born with cord prolapse  starstarstarstarstar
my grandson was born on 8/14/10. he was born without oxygen for 25-30 min. the staff at the hospital did the cooling cap and to no avail there is no ...

baby born with cord prolapse  Not rated yet
my grandson was born on 8/14/10. he was born without oxygen for 25-30 min. the staff at the hospital did the cooling cap and to no avail there is no ...



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