During labor, if a loop of umbilical cord is protruding from the vaginal opening, which action should you take immediately?

During labor, if a loop of umbilical cord is protruding from the vaginal opening, which action should you take immediately?

• A. Push the cord back in
• B. Have the woman assume a knee-chest position
• C. Call EMS
• D. Delay to check contractions

Answer: (B)

This is an obstetric emergency: a loop of the umbilical cord protruding during labor can be compressed by the birth canal, risking fetal oxygen supply. The key immediate action is to relieve pressure on the cord. Positioning the mother in a knee-chest position accomplishes this quickly by using gravity to shift the baby and create space, reducing cord compression while help is obtained. Do not try to push the cord back in, and if possible, gently lift the presenting part off the cord with a gloved hand to maintain relief. Call EMS promptly and prepare for urgent transport.

This is an obstetric emergency: a loop of the umbilical cord protruding during labor can be compressed by the birth canal, risking fetal oxygen supply. The key immediate action is to relieve pressure on the cord. Positioning the mother in a knee-chest position accomplishes this quickly by using gravity to shift the baby and create space, reducing cord compression while help is obtained. Do not try to push the cord back in, and if possible, gently lift the presenting part off the cord with a gloved hand to maintain relief. Call EMS promptly and prepare for urgent transport.