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Chapter 14a Cord presentation and prolapse
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Disclaimer | Introduction | Definitions | Literature review | Risk factors | Diagnosis | Management | Counselling | References | Last reviewed
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Diagnosis
> The presence of cord should be excluded during all routine vaginal examinations in labour and after spontaneous rupture of membranes where risk factors are present or if cardiotocographic abnormalities commence soon thereafter (RCOG 2008)
> Diagnosis is usually made during a vaginal examination when the examiner feels a soft, usually pulsatile structure
> On examination, the cord may be presenting (alongside the presenting part), or prolapsed (in the vagina or in the introitus)
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