The umbilical cord connects the fetus to the placenta, an organ that provides nutrition and oxygen to the fetus. Umbilical cord prolapse occurs when the umbilical cord passes through the birth canal and into the vagina in front of the baby's head. It occurs after the membranes have ruptured.
As the baby passes through the birth canal during labor, it puts pressure on the prolapsed umbilical cord. This compression of the umbilical cord decreases or can completely cut off blood flow and oxygen to the baby.
Umbilical cord prolapse is a dangerous condition that can cause stillbirth unless the baby is delivered quickly, usually by
(C-section). Most babies delivered quickly through cesarean section do not suffer from complications caused by this condition.
Umbilical cord prolapse is cause by the umbilical cord coming out of the uterus before the baby's head.
Factors that increase your chance of umbilical cord prolapse:
Drastic changes in the fetal heart rate during labor can signal the doctor to check for a prolapsed umbilical cord.
Seeing or feeling the umbilical cord in the vagina before the baby's delivery during a pelvic exam confirms that diagnosis.
Treatment options include:
There are no current guidelines to prevent umbilical cord prolapse.
American Pregnancy Association
The American Congress of Obstetricians and Gynecologists
The Canadian Women's Health Network
The Society of Obstetricians and Gynaecologists of Canada (SOGC)
Holbrook BD, Phelan ST. Umbilical cord prolapse. Obstet Gynecol Clin North Am. 2013;40(1):1-14.
Umbilical cord prolapse. EBSCO DynaMed Plus website. Available at:
http://www.dynamed.com/topics/dmp~AN~T900149/Umbilical-cord-prolapse. Updated December 15, 2014. Accessed September 28, 2016.
Last reviewed June 2016 by James Cornell, MD
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