Management of Cord Prolapse

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Management of Cord Prolapse Shoulder Dystocia

• Eliza Rivera-Mitu, RN, MSN
• ERMitu_at_trinityvocational.com

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Shoulder DystociaThe turtle sign
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Shoulder Dystocia Management

• http//www.youtube.com/watch?vjV6g427UMxY

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Shoulder Dystocia Management

• Suprapubic Pressure

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Shoulder Dystocia Management

• Woods Screw Maneuver high risk for humeral fx

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Shoulder DystociaAOCG Guidelines

• 1) Call for help - assistants, anesthesiology,
  pediatrician. Initiate gentle traction of the
  fetal head at this time. Drain the bladder if
  distended.
• 2) Generous episiotomy.
• 3) Suprapubic pressure with normal downward
  traction on fetal head.
• 4) McRoberts maneuver.
• Then, if these maneuvers fail,
• 5) Wood's screw maneuver.
• 6) Attempt delivery of posterior arm.

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Cord Prolapse Occult Cord
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Cord ProlapseTrue Prolapsed Cord
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Dealing with perinatal loss

• http//www.youtube.com/watch?v2W3QW2D-eRg