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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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