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Cord prolapse — DRCOG MCQ

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HardLabourCord prolapseDRCOG

A multiparous woman has artificial rupture of membranes during labour and immediately reports something in the vagina. The fetal heart rate drops to 80 bpm and a loop of cord is visible at the introitus. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Elevate the presenting part and expedite birth urgently

Visible cord with fetal bradycardia is cord prolapse, requiring elevation of the presenting part and urgent birth, usually by emergency caesarean unless vaginal birth is imminent. Attempting to replace the cord fully is not the priority and can worsen vasospasm. The teaching point is that cord prolapse is a time-critical obstetric emergency.

Reference: RCOG Green-top Guideline No. 50; NICE NG235