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Lecture-14 Cord Prolapse
Lecture-14 Cord Prolapse
Prepared by:
Dr. Gehanath Baral
MBBS,DGO,MD
Senior Consultant Gynecologist & Obstetrician: Government of
Nepal
Visiting Professor: CTGU
29th March,2007
1
2
Types
Membrane
Intact Ruptured
Cord prolapse
Cord presentation Occult prolapse
(1:300)
3
Cause
1. Malpresentation Transverse, Breech,
Face
2. Contracted pelvis
3. Premature
4. Twins
5. Polyhydramnios
6. Iatrogenic ARM, Version
4
Precaution
1. ARM Controlled
Breech
Extraction
6
Complication
1. Fetal hypoxia/Distress
2. Intrapartum fetal death
3. Operative delivery
– Forceps del./Vacuum del.
– CS del.
1. Anesthesia
2. Hemorrhage
3. Infection