What is the procedure for a prolapsed cord?

• A. Cut the cord immediately
• B. Push the cord back into the vagina
• C. Insert fingers, and gently push on the baby's head to keep pressure off of the cord
• D. Wait for spontaneous resolution

Answer: (C)

A prolapsed umbilical cord is an obstetric emergency where the cord drops ahead of the presenting part, risking rapid compression and fetal hypoxia. The best immediate action is to insert gloved fingers into the vagina and gently lift the presenting part (usually the head) off the cord to relieve that pressure, keeping the fingers in place to maintain relief. While doing this, position the mother with the hips elevated (often knee-chest or Trendelenburg) to further reduce cord compression and buy time for delivery. Call for rapid transport and be prepared for delivery. Do not cut the cord, do not push the cord back into the vagina, and do not wait to see if it resolves on its own. The key idea is to relieve cord compression immediately to protect the fetus until delivery.