Which action is NOT recommended for a prolapsed cord during delivery?

• A. Elevate the mother's hips and place her in a knee-to-chest position
• B. Keep the patient calm and call for rapid transport
• C. Provide immediate oxygen and prepare for rapid delivery
• D. Push the presenting part back toward the uterus

Answer: (D)

When a cord prolapse occurs, the top priority is to relieve pressure on the cord and keep the fetus oxygenated while arranging rapid delivery. Pushing the presenting part back toward the uterus would not relieve the compression; instead it can push the cord deeper into the birth canal, worsen blood flow to the baby, and increase the risk of injury.

The correct approach is to gently elevate the presenting part off the cord with a gloved hand and keep it held up to relieve pressure. Positioning matters—placing the mother in a knee‑to‑chest or hips-elevated position helps reduce cord compression. Provide high-flow oxygen to the mother to maximize fetal oxygenation and mobilize resources for urgent delivery. Call for help and prepare for rapid delivery with the team, keeping the cord from being compressed further.

So, this action is not recommended because it directly worsens cord compression and fetal distress, contrary to the lifesaving steps used to manage a prolapsed cord.