“Abnormal descent of umbilical card in relation to fontal presenting part”
Assessment:- Mother has a feeling that something is out through the vagina
Umbilical card is visible or palpable
FHR is irregular & slow
Type:- Occult Prolepses:-
Card is placed on side of presenting part & not felt by fingers on in exam.
Card presentation:- (Persistence variable declaration)
Card is slipped down below the presenting part (feeling pulsation of card)
Card Prolepses:- Card is lying outside vagina/valve following supposes of
Membrane
Etiology:-
Contracted Pelvis
Pre maturity
Twins
Abnormal presentation
Hydramnions
Long card
Rupture of membrane
Management:-
Relieve card pressure immediately
Give tender being position
Monitor FHR
USG formal presentation & card position
Prepare for emergency C.S
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