Starting on:
Aug 23, 2024
Ending on:
Aug 23, 2024
Moderator(s):
PNH
Max Credits:
3 Points
Provider:
Plainsview Nursing Home
Claim Points
Aug 23, 2024
Ending on:
Aug 23, 2024
Moderator(s):
Dr.
Kenneth Mutai
MBChB
Venue: MBChB
PNH
Max Credits:
3 Points
Provider:
Plainsview Nursing Home
Claim Points
Cord prolapse management
Starting on:
Aug 23, 2024
Aug 23, 2024
Ending on:
Aug 23, 2024
Aug 23, 2024
Venue:
PNH
PNH
Description
This is an obstetric emergency, deliver immediately: The woman in knee-chest or Trendelenburg (dorsal decubitus, head down) position to take the pressure off the cord. Manually push the presenting part toward the uterine fundus to relieve pressure on the cord.
Objectives
If the fetus is still alive, place the woman on her back and gently push the umbilical cord up. Intramuscular papaverine 40 - 80mg if contractions are rapid. Advise the mother not to push and the possible adverse effects on the fetus. At the same time, quickly transfer to the upper line.
If available, give terbutaline 0.25 mg subcutaneously to reduce contractions when there are persistent fetal heart rate trace abnormalities, despite attempts to prevent cord compression manually, and there may be delays in achieving delivery.
Presenters
-
Dr.
KENNETH MUTAI
MBChB
GENERAL PRACTISE