QuestionSBA
QuestionChoice
Cases of cord prolapse require emergency caesarean section due to the risk of foetal compromise.
10035948
b
Take to theatre for assisted delivery
QuestionChoice
This is correct. This is a case of cord prolapse which has a high morbidity and mortality with potential foetal compromise. The presenting part should be elevated to relieve cord compression and an immediate C-section performed.
10035947
a
Emergency caesarean section
QuestionChoice
This is an option for induction of labour and is not appropriate here when urgent intervention is required.
10035950
d
Insert prostaglandin pessary
QuestionChoice
This is incredibly inappropriate in this maternal and foetal emergency.
10035951
e
Reassure and discharge
QuestionChoice
This is inappropriate. The CTG findings are extremely concerning and this is an obstetric emergency which needs to be acted upon promptly to minimise risk to the foetus.
10035949
c
Continue CTG monitoring and await events
Concept
Chapter
2693
6171
Cord Prolapse
Topic
333
Obstetrics and Gynaecology
19593
Cord prolapse occurs when the umbilical cord slips ahead of or alongside the baby during delivery, which can compress the cord and reduce blood and oxygen supply to the baby, making an emergency C-section necessary to prevent complications.
A 32-year-old G2P1 pregnant woman, at 39 weeks gestation, presents to the maternity assessment unit ward with sudden onset severe vaginal discomfort. On examination, the umbilical cord is palpable alongside the presenting part of the foetus. CTG reveals sudden onset foetal bradycardia.

What is the most appropriate management?
a