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A laboring woman develops umbilical cord prolapse. What is the most appropriate immediate maternal position to reduce cord compression while arranging
Question

A laboring woman develops umbilical cord prolapse. What is the most appropriate immediate maternal position to reduce cord compression while arranging C-section?

A.

Supine with legs extended

B.

Lithotomy position

C.

Trendelenburg or knee–chest position

D.

Sitting upright

Correct option is C

Trendelenburg or knee–chest position shifts fetus upward, relieving cord compression and preserving blood flow until delivery.
Explanation of options: (a) ✘ Supine worsens cord compression due to gravity. (b) ✘ Lithotomy is for instrumental delivery, not cord prolapse. (c) ✔ Correct; Trendelenburg/knee–chest relieves cord pressure and is first-line. (d) ✘ Sitting upright increases compression further.

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