What is the first step in managing a prolapsed umbilical cord?

In the case of managing a prolapsed umbilical cord, the primary goal is to protect the umbilical cord, keep it moist, and reduce the risk of cord compression which can compromise fetal blood flow and oxygen delivery. Covering the cord with a wet, sterile dressing serves to maintain its moisture and prevent it from drying out, which can lead to further complications.

The technique involves careful attention to the cord’s exposure and avoiding any pressure that could result from the fetal head against the cord. This action works to optimize the conditions for the fetus until further medical help can arrive or until delivery can take place.

Other choices, while they might be relevant in different contexts, do not address the immediate need for protecting the umbilical cord directly. Calling for backup is important but should come after initial steps to secure the safety of both mother and fetus, while positioning the patient or using a dry dressing does not provide the necessary moisture and protection that the prolapsed cord requires.