If a pregnant client has a prolapsed umbilical cord, what immediate position should be maintained?

If a pregnant client has a prolapsed umbilical cord, what immediate position should be maintained?

• A. Hands and knees in knee-chest position
• B. Supine with pelvis elevated
• C. Left lateral decubitus
• D. Trendelenburg position

Answer: (A)

When a prolapsed umbilical cord occurs, the priority is to relieve cord compression to protect the fetus from hypoxia. The hands-and-knees (knee-chest) position uses gravity to move the uterus and fetus away from the pelvis, lifting the presenting part off the cord and improving blood flow to the fetus. This position most effectively reduces pressure on the cord while delivery is arranged. Other positions do not relieve the compression as well and can worsen it or compromise the mother’s comfort and breathing. After placing in this position, continue fetal monitoring, provide oxygen if available, and prepare for urgent delivery.

When a prolapsed umbilical cord occurs, the priority is to relieve cord compression to protect the fetus from hypoxia. The hands-and-knees (knee-chest) position uses gravity to move the uterus and fetus away from the pelvis, lifting the presenting part off the cord and improving blood flow to the fetus. This position most effectively reduces pressure on the cord while delivery is arranged. Other positions do not relieve the compression as well and can worsen it or compromise the mother’s comfort and breathing. After placing in this position, continue fetal monitoring, provide oxygen if available, and prepare for urgent delivery.