What is umbilical cord prolapse

The umbilical cord incident

The umbilical cord prolapse is a phenomenon that worries many pregnant women. This is understandable, after all, the umbilical cord incident can mean a disability or even the death of the unborn baby. But don't drive yourself crazy now: an umbilical cord incident is dangerous, but very rare. Find out here what happens in the event of an umbilical cord incident and what to do in an emergency.

What is an umbilical cord incident?

One speaks of an umbilical cord incident if the Umbilical cord slips in front of the baby. This can happen during childbirth or if the bladder ruptures prematurely. The baby's weight can pinch the umbilical cord that supplies the baby with oxygen, food and blood.

Some babies have their heads just before they are born not yet lowered into the pool, but are a little further up. For me or my son, for example, this was the case because he lay on my pubic bone for the entire pregnancy. When the amniotic sac then bursts, a large amount flows Amniotic fluid off - because the baby's head cannot function like a plug due to its elevated position. In this case, the umbilical cord may also be flushed down in front of the baby. Beginning Labor painsadditionally increase the pressure on the umbilical cord.

What are the signs of an umbilical cord incident?

The doctor or midwife can usually easily diagnose an umbilical cord prolapse, as the pulsating umbilical cord can be felt in the birth canal in front of the baby. If the examination does not give a clear result, the doctor will carry out an amniotic fluidoscopy with the cervix sufficiently open. Because the baby is no longer receiving oxygen, the heart rate drops and the pulse slows down.

What are the consequences of an umbilical cord incident?

The umbilical cord incident is one of the most dangerous Birth complications and in the worst case it can lead to the death of the baby. The pressure on the umbilical cord worsens the supply of oxygen and blood. If the supply is only interrupted for a period of time, this too can lead to serious damage. If the child's heart can no longer be heard, the unborn baby is usually resuscitated in the uterus with the help of medication.

What to do in the event of an umbilical cord incident

My doctor told me about 8 weeks before the birth that I had to be transported to the hospital lying down if my amniotic sac should burst prematurely. That means that I definitely have one ambulance should have called.
In the lying position This is because the baby exerts less pressure on the umbilical cord and, at best, it can still be supplied by the umbilical cord.
Once at the hospital, the doctor first tries to relieve the pressure on the umbilical cord by pushing the baby up and holding it. Then he leads one Emergency caesarean section because normal birth through the birth canal is no longer possible.

When is there an increased risk?

Umbilical cord incidents are more likely to come in in babies Breech position, in breech or transverse position that have not (yet) turned upside down. They lie diagonally, across or with the feet first in the stomach. Actually logical, as they are not correctly positioned in the pelvis due to their incorrect position and the umbilical cord can therefore be more easily flushed past the baby to the birth canal. Or the umbilical cord is still below the baby due to the wrong position. In this case, the sudden suction of the amniotic fluid can pull the baby into the pelvis and thus onto the umbilical cord. Even with babies with a lot small head (e.g. premature babies) the umbilical cord can slide in front of the head faster. At Multiple births the umbilical cord prolapse also occurs more frequently, and also in one very deep-seated placenta.

How common is an umbilical cord incident?

Even if your baby has not yet sunk into the pelvis and your amniotic sac bursts prematurely, this does not have to mean that the umbilical cord has moved in front of your baby and your baby is in danger. The doctors in the hospital can feel whether the umbilical cord is actually in front of your unborn baby or not. The frequency of umbilical cord incidents is only about 0.3% of all births in Germany, so it is really very high very low.

I have to say that (thank goodness) I didn't find out exactly what it means that my son wasn't really deep in my pelvis until he was born. The consequences of the umbilical cord incident are really frightening! But please don't panic if your unborn baby isn't lying correctly either. Because that doesn't mean that an umbilical cord incident actually occurs!

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