<unk>  is when the<unk> <unk>  comes out of the uterus with or before the presenting part of the baby. The concern with<unk><unk>  is that pressure on the<unk>  from the baby will compromise blood flow to the baby. It usually occurs during labor but can occur anytime after the rupture of membranes. The greatest risk factors are an abnormal position of the baby within the uterus and a premature or small baby. Other risk factors include a multiple pregnancy, more than one previous delivery, and too much amniotic fluid. Whether medical rupture of the amniotic sac is a risk is controversial. The diagnosis should be suspected if there is a sudden decrease in the baby's heart rate during labor. Seeing or feeling the<unk>  confirms the diagnosis. Management focuses on quick delivery, usually by cesarean section. Filling the bladder or pushing up the baby by hand is recommended until this can take place. Sometimes women will be placed in a knee-chest position or the Trendelenburg position in order to help prevent further<unk>  compression. With appropriate management, the majority of cases have good outcomes.<unk>  occurs in about 1 in 500 pregnancies. The risk of death of the baby is about 10%. However, much of this risk is due to congenital anomalies or prematurity. It is considered an emergency.
Umbilical cord prolapse
Placental abruption
Shoulder dystocia
Retained placenta
Persistent cloaca
Neonatal sepsis
Cephalopelvic disproportion
Omphalitis of newborn