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Obstetrics
Advanced
10 minute stationUmbilical Cord Prolapse During Labour
Dispatch
Cat 1 — 30-year-old female in established labour at home, sudden gush of fluid followed by visible cord at the vaginal opening.
On arrival
Patient distressed, cord visible and pulsating outside the vagina, contractions ongoing, mother reports reduced fetal movements since the event.
Initial observations
- Airway
- Patent
- RR
- 26
- SpO2
- 97% on air
- Pulse
- 118
- BP
- 122/78 mmHg
- Cord
- Visible, pulsating, cool to touch on exposure
- Fetal status
- Reduced movements reported by mother