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8 Cards in this Set
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- Back
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incidence of cord prolapse/presentation
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0.1-0.62% of all births
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incidence of UCP with breech prsnetation and transverse lie
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breech 4-6%
transverse Lie 7-15% |
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Risk Factors associated with UCP(6)
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malpresentation
second twin polyhydramnios high presenting part PPROM PROM |
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Management of UCP If membranes intact
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remove hand immediately
call for help transfer woman in ambulance in knee-chest positon |
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Management of UCP (intrapartum)
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call for help
move woman to knee-chest position consider alternate position if fhr is abnormal inform woman of sitution and need for c/s replace cord into vagina manual elevaion of presenting aprt using digital pressure on the presenting part to hold it away from cord maintain manual elevation until c/s oxygen to mother monitor fhr as continuously as possible draw bloods start IV Document |
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If full dilation and birth is imminent with UCP
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facilitate birth by use of maternal position effort perineal pressure and or episiotomy
prep for NRP clamp and cut leaving several inches |
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How long do you have if birth is imminent
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4 minutes
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How do you fill bladder to raise presenting part off prolapsed cord
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fill bladd er with 400-750 cc warm NS using a clamped foley catheter held in place by inserting 5-10cc in to the balloon
use the same knee chest position a warmed wet tampon can be used to prevent cord from descending into vagina |
