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8 Cards in this Set

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  • Back
incidence of cord prolapse/presentation
0.1-0.62% of all births
incidence of UCP with breech prsnetation and transverse lie
breech 4-6%
transverse Lie 7-15%
Risk Factors associated with UCP(6)
malpresentation
second twin
polyhydramnios
high presenting part
PPROM
PROM
Management of UCP If membranes intact
remove hand immediately
call for help
transfer woman in ambulance in knee-chest positon
Management of UCP (intrapartum)
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
If full dilation and birth is imminent with UCP
facilitate birth by use of maternal position effort perineal pressure and or episiotomy
prep for NRP
clamp and cut leaving several inches
How long do you have if birth is imminent
4 minutes
How do you fill bladder to raise presenting part off prolapsed cord
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