Page 276 - Critical Maternity & Newborn Health Nursing
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Fig.,(30) Exaggerated Sims' position adopted from
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The bladder would be drained in theatre immediately before delivery.
-Birth must be expedited with the greatest possible speed to reduce
the mortality and morbidity associated with this condition.
-Caesarean section is the treatment of choice in those instances where
the fetus is still alive and vaginal birth is not imminent.
If cord prolapse is diagnosed in the second stage of labour, with a
multiparous mother, the nurse may perform an episiotomy to expedite
the birth.
-Where the presentation is cephalic, assisted birth may be achieved
through ventouse or forceps.
-If cord prolapse occurs in the community, emergency transfer to
hospital is essential.
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