What immediate action should you take for a prolapsed cord to relieve pressure on the cord?

• A. Insert fingers, and gently push on the baby's head to keep pressure off of the cord
• B. Apply the mother's warming blanket
• C. Clamp the cord twice
• D. Wait for medical help without touching the cord

Answer: (A)

Relief of cord compression is the immediate priority when a prolapsed umbilical cord is present. The cord is squeezed by the baby’s presenting part, which can cut off oxygen to the fetus. Inserting gloved fingers into the vagina and gently lifting or displacing the presenting part off the cord directly relieves that pressure, buying time for safe delivery and transport. Keep the fingers in place to maintain that relief, and position the mother to minimize pressure on the cord (for example, with the hips elevated or in a knee-chest position if possible). Do not push on or clamp the cord, and don’t wait for help without acting. Warming the mother or waiting to act does not relieve the compression and can worsen the situation.