A prolapsed umbilical cord is when the umbilical cord is compressed as a result of either the baby getting entangled with the umbilical cord as it comes out or comming out in an unusual position (breech birth). As the umbilical cord is compressed foatal hypoxia occurs.
1. Posture the mother in a lateral position with her buttocks elevated aboe the level of the uterus using firm pillows, blankets or anything else available.
2. Gently attempt to replace the cord into the lower part of the vagina
3. If unsuccessful after one attempt, do not continue to handle the cord due to risk of further agitation
4. Place a pillow between the knees of the mother to prevent further compression of the cord.
5. Provide 100% oxygen to the mother to increase the availability of oxygen to the foetus.
6. This is one of those times when you drive as fast as possible to the hospital!