Most often, the prolapse of the umbilical cord occurs with polyhydramnios, premature birth, an abnormal fetal position, with too long umbilical cord.

Falling is observed if the present part of the fetus does not fill the way out of the small pelvis, there is no waistband and there is no division of the amniotic fluid into the front and back. Under normal conditions, the fetal head is firmly inserted in the plane of the pelvis and does not allow the umbilical cord to fall out. In the pathology of childbirth this does not happen. The risk factor will be an autopsy of a fetal bladder in case of polyhydramnios and not fixed in the pelvis head, a rear view of insertion, pregnancy with two or more fetuses, anatomical defects of the pelvis, a large fetus, uterine fibroids, low placentation, pelvic presentation. One of the risk factors is also called the male sex, according to the Internet edition for girls and women from 14 to 35 years old Pannochka. net umbilical cord prolapse is dangerous by her compression and asphyxia of the fetus. Its cooling, drying and manipulation with it can cause a spasm of the umbilical cord.

Symptoms of prolapsed umbilical cord.

Visually, this will be seen in the uzi examination when examining the cervix and the plane of entry into the small pelvis. When vaginal examination, if the whole bladder, adjacent umbilical cords are probed in the form of a crimp, slippery and smooth cord, its thickness is approximately pinky, which gives a feeling of pulsation. With the outflow of water, it is even easier to recognize: the umbilical cord is located in the vagina or outside. If the head is high in the pelvic cavity, the umbilical cord can move under the fingers. Vaginal examination is necessary to determine the opening of the uterine pharynx to determine further tactics of management.

Diagnostics.

It is necessary to conduct constant monitoring of the fetus and ultrasound control of its condition. It is necessary to consult a neonatologist and an anesthesiologist to resolve the issue of an emergency cesarean section.

Treatment.

It is necessary to keep the fetal bladder as long as possible, putting the woman in a special position, so as not to squeeze the loop of the umbilical cord. In some cases, the adoption of special provisions eliminates the clamping and fall of the loops. If the clamping is increased - an emergency ks. This will save the life of the fetus.

Prognosis for a baby is worse with a headache, it is better for a pelvic presentation. With the timely conduct of the ks - auspicious.

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