Snapshot A 30-year-old G1P0 woman of 38 week gestation presents to the hospital with contractions. In the labor and delivery room, she undergoes rupture of membranes. Shortly after, the fetal heart monitor reveals variable decelerations. A vaginal exam is conducted and the umbilical cord is palpated between the presenting part of the fetus and the cervical os. An ultrasound is done to confirm this diagnosis. As intrauterine manipulation is attempted, the fetal heart monitor shows bradycardia. The patient is prepped for a cesarean section. Introduction Overview login to view 3 more bullets Epidemiology Incidence login to view 1 more bullet Risk factors login to view 9 more bullets ETIOLOGY Pathogenesis login to view 2 more bullets Presentation Symptoms login to view 6 more bullets Physical exam login to view 2 more bullets Imaging Ultrasound login to view 4 more bullets Differential Abruptio placentae login to view 3 more bullets Treatment Medical login to view 6 more bullets Surgical login to view 4 more bullets Complications Fetal mortality login to view 1 more bullet Prognosis Worse prognosis if prolapse occurs outside the hospital