Question:
A female in labor presents with cord prolapse. What is the next best step?
A female in labor presents with cord prolapse. What is the next best step?
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Cord prolapse = relieve pressure temporarily, but definitive treatment is usually emergency C-section.
Updated On: May 14, 2026
- Push cord back into cervix
- Emergency C-section
- Head-low, lift part, fill bladder
- Vaginal delivery with forceps
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The Correct Option is B
Solution and Explanation
Concept:
Cord prolapse is an obstetric emergency because compression of the umbilical cord can rapidly cause fetal hypoxia. If vaginal delivery is not imminent, emergency cesarean section is required.
Step 1: Identify the emergency.
Cord prolapse means the umbilical cord lies below the presenting part. This causes cord compression.
Step 2: Understand fetal risk.
Cord compression can reduce blood flow and oxygen supply to the fetus, causing fetal distress.
Step 3: Choose definitive management.
The best definitive management is: \[ \text{Emergency Cesarean section} \] Supportive measures such as head-low position and lifting the presenting part are temporary measures while preparing for delivery. Therefore, the correct answer is Emergency C-section.
Step 1: Identify the emergency.
Cord prolapse means the umbilical cord lies below the presenting part. This causes cord compression.
Step 2: Understand fetal risk.
Cord compression can reduce blood flow and oxygen supply to the fetus, causing fetal distress.
Step 3: Choose definitive management.
The best definitive management is: \[ \text{Emergency Cesarean section} \] Supportive measures such as head-low position and lifting the presenting part are temporary measures while preparing for delivery. Therefore, the correct answer is Emergency C-section.
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