1. Assistant Professor, Faculty of Medicine, Zagazig University
CORD PROLPSE
DR MANAL BEHERY
Assistant Professor, Faculty of Medicine, Zagazig University

2. Definition
Cord Presentation: Cord in front of presenting part before the rupture of membranes
Cord Prolapse: Cord in front of
presenting part after rupture of
membranes

4. Cord presentation vs. Cord prolapse

5. Occult cord prolapse Cord lying alongside the presenting part
Occult vs. presentation vs. prolapsed cord

6. Incidence Primigravida 0.45% Multigravida 0.66% (Risk ratio 2:3)
Cephalic 0.3%
Frank breech 0.9%
Complete breech 5%
Footling 10%
Shoulder 15%
Contracted pelvis 4-6 times

7. Causes Malpresentation - face, brow, breech and shoulder Prematurity
Polyhydramnios
Multiple pregnancy
Long cord ( cm)
PROM
CPD
Obstetric interventions - Amniotomy, Intrauterine pressure catheter, scalp electrode, external cephalic version,

8. Interesting, right?
This is just a sneak preview of the full presentation. We hope you like it! To see the rest of it, just click here to view it in full on PowerShow.com. Then, if you’d like, you can also log in to PowerShow.com to download the entire presentation for free.