Umbilical cord prolapse — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardIntrapartum CareUmbilical cord prolapseDRCOG

A 33-year-old woman at 39 weeks has sudden rupture of membranes in labour followed by fetal bradycardia. The midwife sees a loop of umbilical cord at the vulva. The presenting part is high. What is the most likely diagnosis?

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

Reveal the answer and explanation

Correct answer: A — Umbilical cord prolapse

Visible cord after membrane rupture with fetal bradycardia is cord prolapse until proven otherwise. Vasa praevia causes bleeding after membrane rupture, while shoulder dystocia occurs after delivery of the head. Uterine rupture would usually involve scar pain, maternal compromise or loss of station. The pearl is that cord prolapse requires immediate action to relieve compression and expedite birth.

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