Prolapsed Cord
A rare emergency that requires immediate action
What a Prolapsed Cord Is
A prolapsed cord happens when the umbilical cord slips through the cervix and into the vagina ahead of the baby. This can occur when the bag of waters breaks with a strong gush, especially if the baby is not yet engaged in the pelvis. The danger is that the baby's weight presses against the cord, cutting off their oxygen supply. This is a true emergency.
What You Will See
When the water breaks, you or your partner may see or feel a loop of cord protruding from the vagina. Sometimes the cord is not visible but is felt inside the vagina. The baby's heart rate will drop sharply and may not recover between contractions. If you are monitoring contractions and notice a sudden, sustained drop in the baby's heart rate, treat it as a potential cord prolapse until proven otherwise.
What to Do Immediately
Call 911 or your emergency services number without delay. Your partner should get on their hands and knees immediately, with their chest low and hips raised. This position uses gravity to take pressure off the cord. If you can see or feel the cord, try to gently push the baby's head up and off the cord with your fingers. Do not push the cord back inside. Keep your hand in place until help arrives. If possible, have someone call the hospital to alert them you are coming.
What Not to Do
Do not try to push the cord back into the uterus. Do not move your partner from the hands-and-knees position. Do not waste time gathering supplies or packing a bag. Do not drive to the hospital yourself unless there is no other option. The ambulance team can provide oxygen and position your partner for transport while keeping pressure off the cord.