Umbilical cord prolapse

Fetal membranes have been broken, first revealed more than umbilical cord prolapse in the cervix and the Department of extraoral access, and even the vagina, known as umbilical cord prolapse. Is the lead fetal distress and neonatal asphyxia, stillbirth, one of the reasons for stillbirths. Clinical manifestations 1. Fetal membranes have broken 2. Umbilical cord exposed at the bottom first, I even cervical prolapse exposed to genital 3. Abnormal fetal heart rate after labor. Diagnosis 1. Fetal first exposed side or exposed to the vagina, and in the umbilical cord or touch the umbilical cord prolapse, in the genital. Treatment principles 1. Once found to reveal or umbilical cord prolapse, surviving in the fetal heart rate should be in the fetus is delivered within minutes. 2. Caesarean section without conditions or maternal family members do not agree with the umbilical cord still satisfied that the operation of the feasible. 3. Determine fetal death, as their natural childbirth. Use principles Umbilical cord prolapse in fetal distress optional "A" or "B." Supplementary examination 1. Hidden umbilical cord prolapse optional "A", "B" or "C", 2. Umbilical cord prolapse vaginal optional "A." Evaluation 1. Cure: a short period of time the end of maternity leave, or umbilical cord also satisfied that the intrauterine. 2. Turn for the better: to correct fetal distress, not the end of maternity leave within a short time. 3. Recovered: umbilical cord compression fetal distress by further aggravating or intrauterine fetal death.