The umbilical cord connects the fetus to the placenta, an organ that provides nutrition. 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 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:
Seeing or feeling the umbilical cord in the vagina before the baby's delivery is a symptom of umbilical cord prolapse.
The diagnosis is made when a pelvic examination is done to see and feel the umbilical cord present in the vagina in front of the baby's head.
Treatment options include:
There are no current guidelines to prevent umbilical cord prolapse.
American Congress of Obstetricians and Gynecologists
American Pregnancy Association
The Society of Obstetricians and Gynaecologists of Canada
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Holbrook BD, Phelan ST. Umbilical cord prolapse. Obstet Gynecol Clin North Am. 2013;40(1):1-14.
Lee W, et al. Vasa previa: Prenatal diagnosis, natural evolution, and clinical outcome.
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Umbilical cord prolapse. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated November 22, 2011. Accessed June 5. 2013.
Last reviewed May 2015 by Andrea Chisholm, MD
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