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There are three types of umbilical prolapse that can occur: [12] overt umbilical cord prolapse: descent of the umbilical cord past the presenting fetal part. In this case, the cord is through the cervix and into or beyond the vagina. Overt umbilical cord prolapse requires rupture of membranes. This is the most common type of cord prolapse.
Umbilical cord prolapse may occur, particularly in the complete, footling, or kneeling breech. [23] This is caused by the lowermost parts of the baby not completely filling the space of the dilated cervix. [23] When the waters break the amniotic sac, it is possible for the umbilical cord to drop down and become compressed. [23]
The embryo is surrounded by the thin membranes of the amniotic sac, the umbilical cord is seen in the center, attaching the embryo to the placenta. The umbilical cord develops from and contains remnants of the yolk sac and allantois. It forms by the fifth week of development, replacing the yolk sac as the source of nutrients for the embryo. [2]
Umbilical cord prolapse occurs when the umbilical cord comes out of the uterus with or before the presenting part of the fetus. Umbilical cord prolapse should always be considered a possibility when there is a sudden decrease in fetal heart rate or variable decelerations, particularly after the rupture of membranes. With overt prolapses, the ...
Prolapsed cord can only happen after the membranes have ruptured. [69] The umbilical cord delivers before the presenting part of the foetus. If the foetus is not delivered within minutes, or the pressure taken off the cord, the foetus dies. [70]
Nuchal cord, when the umbilical cord is (tightly) around the neck of the fetus [2] Entanglement of the cord [2] Knot in the cord [2] Cord prolapse, where the umbilical cord exits the birth canal before the baby, which can cause cord compression. [3] As a complication of oligohydramnios in which there is insufficient amniotic fluid
Intrauterine hypoxia (also known as fetal hypoxia) occurs when the fetus is deprived of an adequate supply of oxygen.It may be due to a variety of reasons such as prolapse or occlusion of the umbilical cord, placental infarction, maternal diabetes (prepregnancy or gestational diabetes) [1] and maternal smoking.
Umbilical cord prolapse occurs when the umbilical cord comes out of the uterus with or before the presenting part of the fetus. It is a relatively rare condition and occurs in fewer than 1% of pregnancies. Cord prolapse is more common in women who have had rupture of their amniotic sac.