Figure 18.9 highlights the main features of this emergency: the principles of treatment are as follows:
• Handle the cord as little as possible.
• If an operative vaginal delivery is proposed it should be simple and achieved quickly - if it is not it should not be attempted.
• If there is no fetal bradycardia, there is time to administer a regional block with the patient lying on her side and this may be appropriate.
• If the bladder has been filled up with saline remember to empty it before surgery.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.