In case of Labour complicated with cord prolapse, which of the following statements are correct?
1. Reposition the patient in exaggerated Sims position
2. To replace the cord in the vagina
3. To replace the cord inside the uterus
4. Early amniotomy can prevent cord prolapse
Select the correct answer using the code given below:
(a) 1, 2, 3 and 4
(b) 1 and 2 only
(c) 1, 2 and 3 only
(d) 3 and 4 only
ANS- (b) 1 and 2 only
Once the diagnosis is made, no attempt should be made to replace the cord in uterus ,replace the cord into the vagina should be done to minimize vasospasm due to irritation. as it is not only ineffective but the membranes inevitably rupture leading to prolapse of the cord.
If immediate vaginal delivery is not possible or contraindicated, cesarean section is the best method of delivery. During the time of preparing the patient for operative delivery, she is kept in exaggerated Sims’ position to minimize cord compression.