Im just revising for an exam and im revising complications with the 3rd stage. I was looking into what happens when the cord snaps.

The other day on shift we had a snaped cord during CCT and the co ordinator came in and was getting the woman to try pushing to see if that would deliver it and she also gave fundal pressure. Is this right?

When i have read about snapped cords it always talks about taking the woman to theatre for a manual removal! Which is right?

Or at least which would be right for my exam!

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Don't know about research, but have seen both methods used in practice, I don't know our guidelines either. But would suggest it needs more reading around the incidence and management (yet another thing to do!)

I guess it would vary depending on the involution of the uterus, if it is well contracted then maternal effort may deliver it, if signs of separation are evident to negate the need for manual removal which we know if the more complex option of spinal, theatre , antibiotics etc.

I think I may see what I can find to help?

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http://www.patient.co.uk/showdoc/40000159/

Some interesting bits in there...

difficult to find anything quickly

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Thank you very much, that helped alot.

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Surely you'd get the mum to give a bit of a push before whipping them into theatre? I'm probably just highlighting my ignorance here - but I don't understand why she couldn't at least try a bit of a push to get it out?!