What is the initial step to take for a prolapsed umbilical cord?

Placing the mother in a supine position with hips elevated is crucial when addressing a prolapsed umbilical cord. This position helps to relieve pressure on the umbilical cord, facilitating improved blood flow and oxygen delivery to the fetus. Elevating the hips can help to create space in the birth canal, reducing the compression of the cord as the baby descends during labor.

The concern with a prolapsed cord is that it can become compressed between the baby's head and the pelvis, leading to potential fetal distress due to decreased blood flow. By using the supine position with hips elevated, it allows for better positioning and potential alleviation of the cord from being pinched.

Other options, such as placing the mother in a seated position or attempting to reposition the cord, could introduce more risks by not effectively addressing the pressure on the cord. Covering the cord with gauze, while important for keeping it warm and preventing infection, does not address the underlying issue of cord compression and would not be the first step in managing the situation effectively.