Cord Prolapse

BRANDY LPN · Apr 2, 2006

The only one I have ever seen we put pt in knee chest to del rm. with sterile gloved hand holding presenting part off cord, we sort of threw some betadine somewhere near the abd. none of us even washed our hands let alone scrubbed, we did have gowns and gloves, and mom was given a healthy dose of abx on table. Oh and the res cut the babes head on the way in, did I mention that by a VERY unlucky set of circumstances the sterile hand was our attending, mom just happened to rupture just as he walked in the rm to check her. NOT an experience I would like to repeat, was at a hosp where LR were seperate from DR and from SROM in LR to birth in DR took a whooping total of 7 minutes and baby had PERFECT cord gases, but required 4 (if i remember right) sutures to the scalp.

judyblueeyes · Apr 5, 2006

We had a prolapsed cord recenly in APU. She was up to the RR and called out. Very much cord was hanging out. We put her in knee/chest, I inserted my (sterile gloved) hand to lift and protect the cord and we ran to the OR. I could count the fetal rate by feeling the cord pulsing in my palm. There were about 5 nurses present- one for the pt/cord and 4 to push the bed. Someone else called ahead to let them know we were in route. Good outcome, too.

The only thing I would do differently is put her on her back because of the contortions needed to get her in position on the OR table.