How do you manage a prolapsed cord?

Managing a prolapsed umbilical cord requires careful attention to prevent fetal distress and ensure optimal outcomes. The correct approach involves inserting two gloved fingers into the vagina and gently lifting the presenting part off the cord. This action alleviates pressure on the cord, which can compromise blood flow and oxygen delivery to the fetus. When the presenting part is lifted, it allows the cord to be free from compressive forces, helping to restore normal circulation and protect fetal well-being until delivery.

In contrast, other methods are not appropriate and could lead to complications. Pulling the cord out carefully is not advisable, as it can cause damage to the umbilical cord or the membranes. Applying pressure on the cord can also compromise blood flow and worsen the situation by further restricting circulation. Leaving the cord as is until delivery fails to address the potential for fetal hypoxia and distress, making it an unsuitable choice in acute scenarios involving a prolapsed cord.