Navelstrengprolaps

Navelstrengprolaps, also known as umbilical cord prolapse, is a childbirth complication that occurs when the umbilical cord slips down through the cervix into the vagina before the baby does. The umbilical cord provides oxygen and nutrients to the fetus. If it becomes compressed, blood flow can be reduced, potentially endangering the baby.

The risk factors for navelstrengprolaps include prematurity, multiple gestations, excessive amniotic fluid (polyhydramnios), and procedures like amniocentesis or external cephalic version. It is also more common when the baby is not engaged in the pelvis or when there is a malpresentation, such as a breech position.

Symptoms of navelstrengprolaps can include the mother feeling the umbilical cord in her vagina, or observing it protruding from the cervix. Fetal heart rate monitoring may reveal concerning patterns such as bradycardia (slow heart rate) or variable decelerations, indicating distress.

Immediate management of navelstrengprolaps is critical. The primary goal is to relieve pressure on the cord and deliver the baby as quickly as possible. This often involves a healthcare provider attempting to push the baby's presenting part away from the cord or positioning the mother on her hands and knees (knee-chest position). Delivery is typically expedited via an emergency Cesarean section. The prognosis for the baby depends on how quickly and effectively the prolapse is managed and the duration of cord compression.