What is a cord presentation?

What is a cord presentation?

A cord presentation (also known as a funic presentation) is a variation in the fetal presentation where the umbilical cord points towards the internal cervical os or lower uterine segment. It may be a transient phenomenon and usually considered insignificant until ~32 weeks.

What is the management of cord presentation?

Management and Treatment The doctor will relieve cord compression by manually elevating the fetal presentation part until cesarean section is performed. This reduces the risk of fetal oxygen loss. If the problem with the prolapsed cord can be solved immediately, there may be no permanent injury.

What are the types of cord presentation?

Cord prolapse may be subdivided into three types: (1) overt cord prolapse, (2) funic presentation, and (3) occult prolapse. With overt umbilical cord prolapse, the cord descends through the cervix into the vaginal canal after the membranes are ruptured.

What causes cord presentation?

The most common cause of cord prolapse is premature rupture of the membranes, which is when a mom’s water breaks before she’s actually in labor and her baby’s head has begun to “engage,” or settle into, the birth canal.

How do you examine a cord presentation?

Suspicion may arise during vaginal examination but the diagnosis may not clear. Ultrasound can confirm the diagnosis by showing the presence of umbilical cord between the fetal presenting part and the cervix.

How do you prevent cord presentations?

To prevent cord compression, it is recommended that the presenting part be elevated either manually or by filling the urinary bladder. Cord compression can be further reduced by the mother adopting the knee–chest position or head-down tilt (preferably in left-lateral position).

What are the responsibilities of the nurse in the care of the patient who had cord prolapse?

The client with a prolapsed cord should be treated by elevating the hips and covering the cord with a moist, sterile saline gauze. The nurse should use her fingers to push up on the presenting part until a cesarean section can be performed. Answers A, B, and D are incorrect.

How do you diagnose cord presentation?

1. It is diagnosed by vaginal examination . If the cord is prolapsed it is necessary to detect whether it is pulsating i.e. living foetus or not i.e. dead foetus but this should be documented by auscultating the FHS.
2. Ultrasound: occasionally can diagnose cord presentation.

What is cord prolapse?

Umbilical cord prolapse occurs when the cord drops through the open cervix into the vagina before your baby moves into the birth canal. When this happens, the cord is squeezed between your baby’s body and your pelvic bones. This reduces your baby’s blood supply, leading to loss of oxygen to your baby.

What is cord compression in pregnancy?

Umbilical cord compression occurs when the baby’s weight, the placenta or the vaginal walls put pressure on the cord during pregnancy, labor or delivery. Cord compression during pregnancy is a common problem.

Which of the following is the nurse’s initial action when umbilical cord prolapse occurs?

The immediate priority is to minimize pressure on the cord. Thus the nurse’s initial action involves placing the client on bed rest and then placing the client in a knee-chest position or lowering the head of the bed, and elevating the maternal hips on a pillow to minimize the pressure on the cord.

Which action would the nurse take after observing a prolapsed cord?

When cord prolapse occurs, prompt actions are taken to relieve cord compression and increase fetal oxygenation. The mother should be positioned with her hips higher than her head to shift the fetal presenting part toward the diaphragm.

What is cord prolapse in Labour?

How do you prevent cord compression?

Switching positions: Sometimes changing your position (from lying on your right to your left side, for example) can help alleviate compression and get more blood flowing to the baby. Oxygen administration: Receiving supplemental oxygen may help regulate the baby’s heart rate and prevent further compression.

What causes cord compression?

What causes spinal cord compression? One of the most common causes of spinal cord compression is the gradual wear and tear on the bones of the spine, known as osteoarthritis. People who develop spinal cord compression from this are usually older than 50.

What is umbilical cord preservation?

Cord blood banking is a process of collecting potentially life-saving stem cells from the umbilical cord and placenta and storing them for future use. Stem cells are immature cells that can assume the form of other cells. There are so many things to think about when you have a child.

What are the signs of cord prolapse?

Cord prolapse symptoms With an overt prolapse, the cord can be seen protruding from the introitus or loops of cord can be palpated within the vaginal canal. If the cord is pulsating, the fetus is alive. Occult prolapses are rarely felt on pelvic examination and the only indication may be fetal heart rate changes.

Can you prevent cord accidents?

Risk and Prevention While many umbilical cord accidents are purely random (and, as such, cannot be prevented), there are often characteristic clues that suggest an accident may be possible.