For a cord presentation, which patient position is recommended?

• A. Flat supine position
• B. Position the patient in Trendelenburg and slightly to the left side
• C. Standing upright
• D. Trendelenburg with right tilt

Answer: (B)

When a cord presentation or prolapsed cord is suspected, the goal is to relieve pressure on the cord and maximize fetal oxygenation by using gravity to shift the presenting part away from the cervix. The recommended position is Trendelenburg with a slight left-side tilt. This setup puts the pelvis higher than the head and nudges the uterus toward the left, helping to elevate the presenting part off the cord and reduce compression. Standing upright or lying flat can worsen cord compression, and a right-side tilt is less effective for relieving left-sided pressure. In practice, manual elevation of the presenting part and rapid transport are also important while maintaining this position.