The central nervous system
All labor and delivery team members must be able to recognize the signs of a prolapsed cord and initiate appropriate emergency interventions to relieve pressure on the cord until emergency delivery, usually, a cesarean delivery, can be accomplished.
Prolonged cord compression (occlusion of blood flow to and from the fetus for longer than 5 minutes) leads to fetal hypoxia, usually resulting in the central nervous system (CNS) damage or fetal death.
List 6 steps you would take to relieve pressure on the umbilical cord.
Please include the following steps
- Perform hand hygiene before patient contact.
- Introduce yourself to the mother and support person.
- Verify the correct patient using two identifiers
- Assess the presentation, position, and station of the fetus.
- Determine if factors that increase the risk of a prolapsed umbilical cord are present.
- Ensure that adult and neonatal resuscitation equipment is readily available.
- Ensure that supplies and equipment are available and prepare for an emergency cesarean delivery.
- Perform hand hygiene and don gloves
10.


Leave a Reply
Want to join the discussion?Feel free to contribute!