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Obstetrics
Advanced
10 minute station

Umbilical 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