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UMBILICAL CORD PROLAPSE

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By healthupates

 Have you seen a case where the umbilical cord passes through the cervix into the vagina before the baby?



It’s called umbilical cord prolapse 


We know it’s the  umbilical cord that connects the baby to the placenta. 


Sometimes when water breaks during pregnancy, the umbilical cord can slip through the cervix into the vagina before the baby. 


When this happens, the baby can put pressure on the cord as it passes through the cervix and vagina during labor and delivery.


Pressure on the cord reduces or stops blood flow from the placenta to the baby, decreasing the baby's oxygen supply. 


This can lead to the death of the baby if it’s not delivered ASAP


 Sometimes it’s possible to reposition the cord to prevent blood supply cut off, other times it's not. 


The longer it takes for this problem to be dealt with, the higher the chances of your baby having problems such as brain damage or even death. 


Delivery is usually by cesarean section. If you refuse a cesarean section, you should know that you will very likely be pushing out a dead baby ,should you deliver vaginally.


The risk of the umbilical cord passing into your vagina before time increases when :

Your baby is in a breech position 


When your baby's umbilical cord is too long 


When you have too much  water around your baby 


When your baby is born preterm 


When you deliver twins vaginally. 

The second twin is usually affected.


When your water is broken in the hospital - your doctor or midwife who breaks your water is supposed to examine you to make sure the umbilical cord is not in your vagina 


Umbilical cord prolapse is an emergency and needs to be dealt with very quickly. 


Your doctor or midwife will keep their hand in your vagina to keep your baby's cord from being compressed. 


(We had a case like that and I had to keep my hand there until the theater was set and we moved her to the theater)


You might also be put in specific positions to help keep blood flow to your baby.


If your water breaks and you happen to feel something in your vagina, you should get to the hospital ASAP as this can either be your baby's umbilical cord or any of its body parts. 


You might save your baby's life by doing so.  

 



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