A nurse's handbook of obstetrics . Fig. 126a. Prolapse of the umbilical cord. (Bumm.) As the head comes down the com. pression of the cord between the fetal skull and the pelvic brim will shut off its Fig. 126b.—Knee-chest position. (Potter). The back must be straight or slightly concaveand the thighs perpendicular. TRENDELENBURG POSITION. whatever, except for special reasons of the utmost urgency. If,however, she knows that the cord has prolapsed, she should sendat once for the physician and then put the patient in the knee-chest position, or in the Trendelenburg posit
A nurse's handbook of obstetrics . Fig. 126a. Prolapse of the umbilical cord. (Bumm.) As the head comes down the com. pression of the cord between the fetal skull and the pelvic brim will shut off its Fig. 126b.—Knee-chest position. (Potter). The back must be straight or slightly concaveand the thighs perpendicular. TRENDELENBURG POSITION. whatever, except for special reasons of the utmost urgency. If,however, she knows that the cord has prolapsed, she should sendat once for the physician and then put the patient in the knee-chest position, or in the Trendelenburg position, easily arrangedby slipping a straight chair-back covered with a flat pillow underthe buttocks and shoulders of the patient. The knees should falldownward over the chair round toward the bed. This will favorits return into the cavity of the uterus. If the pulsations in thecord cease or even grow feeble or irregular, there can be no ob-jection to an attempt at its reposition with the hand. With the patient in one or the other of the positions named,the nurse should pass her entire hand, thoroughly scrubbed anddisinfected, and wearing sterile rubber gloves, well lubricatedwith sterile vaseline or lubrichondrin, i
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