NURSING JOURNAL

Student’s Name:QUIRIMIT, DARWIN N. Date:01/10/21

Year/Block/Group:2BSN-3
Clinical Instructor: MRS. B.M.S & MRS. K.L.U

CORD PROLAPSE
Umbilical cord prolapse is an obstetric emergency that can cause baby morbidity and death.
To identify or diagnose it, internal examination (IE), palpating or examining for the
prolapsed cord outside or within the vagina, as well as abnormal fetal heart rate patterns,
are utilized. Certain procedures, including amniotomy, fetal blood collection, and
implantation of a cervical ripening balloon, may result in umbilical cord prolapse. When
UCP happens, delivery should be finished as soon as feasible. Although cesarean delivery is
the preferable approach, vaginal/instrumental delivery may be tried if it is deemed to be
speedier, particularly in the second stage of labor.

I realized that there are several treatments for alleviating cord compression, all of which
should be used until the earliest possible delivery. Tocolytics are also used to reduce
uterine contractions, which relieves pressure on the prolapsed cord and so improves
placental perfusion and thus blood flow to the infant. In circumstances where UCP develops
in the hospital, prompt delivery without the use of tocolytics should be attempted. Cord
prolapse can develop in pregnancies with no evident risk factors, making it an
unpreventable condition. Certain operations, like amniotomy, should be avoided until
absolutely essential and should be performed with extreme caution. Antenatal ultrasound
diagnosis of cord presentation should be sought, especially in pregnancies with atypical
presentations, premature labor, and PROM. Counseling the mother on the problems of UCP
and what to do if the membrane ripens is also recommended. Finally, the fetal heart rate
should be continuously monitored to ensure the fetus's well-being. If a mother has UCP,
she should avoid home births since they have a greater risk of fetal mortality than hospital
deliveries.