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Summary PROLAPS OF THE UMBILICAL CORD
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Describing PROLAPS OF THE UMBILICAL CORD
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PROLAPS OF THE UMBILICALCORD
, 2.1 Definitions
Umbilical cord prolapse is the umbilical cord in the birth canal under
presentation of the fetus after the rupture of the membranes. Umbilical cord
prolapse is an emergency case in obstetrics because the incidence of perinatal
death is high. Umbilical cord prolapse is a complication in labour. Although
cord prolapse is not a malpresentation, it is more likely to occur in
malpresentations or malpositions of the fetus.
Umbilical cord prolapse is the descent of the umbilical cord into the
vagina before the ovary which results in compression of the cord between the
ovary and the mother's pelvis. This is a rare obstetric emergency that occurs
when the umbilical cord descends beside or outside the presenting part of the
fetus. This can be life-threatening to the fetus because the blood flow through
the central vessels is unable to adapt to the compression of the umbilical cord
between the fetus and the uterus, cervix, or pelvic neck. This situation causes the
fetus to experience hypoxia which can result in asphyxia. Therefore, careful
decisions and management are needed.
Umbilical cord prolapse is divided into three, namely:
1. The umbilical cord prolapse is also called funiculi prolapse, if the umbilical
cord is felt out or on the side and passes through the lowest part of the fetus
in the birth canal, the umbilical cord can prolapse into the vagina or even
outside the vagina after the amniotic fluid ruptures.
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