How should a provider manage a prolapsed cord?

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Managing a prolapsed cord effectively is crucial to prevent fetal distress and ensure a safe delivery. Elevating the mother's hips is a beneficial practice because it can help relieve pressure on the umbilical cord. When the cord slips ahead of the presenting part of the fetus, it can become compressed, disrupting blood flow and oxygen supply to the baby. By lifting the mother's hips, you can create a change in position that might alleviate this pressure, thereby improving blood circulation and decreasing the risk of cord compression.

This approach allows time for healthcare providers to prepare for delivery while maintaining fetal safety. Other methods, like immediately pushing the cord back into the uterus or removing it, can lead to complications or worsen the situation. Additionally, placing the mother in a standing position may not provide the desired relief and could further exacerbate the issue, as it may not effectively alleviate the pressure on the cord.

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