Obstetrics & Gynaecology
Cord Prolapse
Emergency management of umbilical cord prolapse to prevent fetal hypoxia
Source: RCOG GTG 50 2014
Step 1 of ~7
warning
Cord Prolapse
Cord prolapse: umbilical cord descends past presenting part after membranes rupture. Incidence 0.1–0.6%. HIGH risk of fetal hypoxia/death from cord compression. CALL FOR HELP IMMEDIATELY. Aim: delivery within 30 minutes (ideally within minutes if CTG abnormal).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Labetalol (IV — Hypertensive Emergency) · Combined alpha and beta blocker
- Tenecteplase · Cardiovascular Emergency
- Tirofiban · Cardiovascular Emergency
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.