CPM Certified Professional Midwife

Category - The Postpartum Period

A pregnant woman is in labor. When the cord is slipped down below the presenting fetal part (and is felt lying in the intact bag of membranes), this complication is called______.
  1. Cord presentation
  2. Cord prolapse
  3. Unstable lie
  4. Occult prolapse
Explanation
Answer: A - Cord presentation

When the cord is slipped down below the presenting part (and is felt lying in the intact bag of membranes), it is called cord presentation. If the cord is lying inside the vagina (or outside the vulva) following rupture of the placental membrane, this is called cord prolapse. If the umbilical cord is placed by the side of the presenting fetal part (and is not felt by the fingers on internal examination), this is called occult prolapse. Unstable lie is a condition where the presentation of the fetus is continuously in transition-even beyond 36th weeks of pregnancy-when it should be stabilized.
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