- Palpate the prolapsed cord for pulsations
Pulsations present:
- Place the patient in knee-chest position (“a la vache”)
- Push the presenting part proximally with a hand in the vagina
- Prepare for urgent C/S
Pulsations not present:
- Proceed with vaginal delivery
Doubtful whether pulsations are present or not:
- Check if fetal heart beats are present
- Preferable with Doppler or ultrasound
- Proceed accordingly
OBSTETRICS 