In some deliveries the umbilical cord comes out of the vagina before the baby's birth. The fetus's head compresses the cord against the birth canal. This cuts off the fetus's supply of oxygenated blood. Arrange for rapid transport and instruct the expectant mother to assume a knee-chest position.

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1. In some deliveries the umbilical cord comes out of the vagina before the baby's birth. The fetus's head compresses the cord against the birth canal. This cuts off the fetus's supply of oxygenated blood. Arrange for rapid transport and instruct the expectant mother to assume a knee-chest position.