CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

Umbilical cord prolapse should be detected early. Which one of the following is the single most crucial reason for early detection of cord prolapse?
  1. Prevention of neonatal death
  2. Prevention of heart failure
  3. Prevention of fetal distress
  4. Prevention of sepsis
Explanation
Answer: A - Prevention of neonatal death

In umbilical cord prolapse, the cord is descended alongside or below the presenting fetal part during the birth process. The importance of early detection of cord prolapse includes prevention of fetal asphyxia (which can cause permanent disability or death) and prevention of membrane rupture in the pregnant woman in labor. Some factors precipitating cord prolapse are malpresentation, contracted pelvis, and polyhydramnios.
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