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PROLAPS OF THE UMBILICAL CORD

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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. [Show More]

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