Which condition is the sole indication for placing gloved fingers in the vagina during delivery?

• A. Prolapsed umbilical cord.
• B. Fetal distress.
• C. Breech presentation.
• D. Placental previa.

Answer: (A)

Relieving cord compression when a umbilical cord has prolapsed into the birth canal is what this maneuver is for. If the cord slips in front of the presenting part, it can be squeezed and stop the fetus’s blood supply. In that moment, inserting a gloved finger inside the vagina and lifting or stabilizing the presenting part keeps pressure off the cord and helps preserve fetal oxygenation until delivery.

Other conditions don’t require this specific action. Fetal distress signals a need for rapid delivery and broad monitoring, not a reason to insert a finger to relieve cord compression. Breech presentation changes delivery management but isn’t about relieving a compressed cord with a finger inside the vagina. Placenta previa poses bleeding risk and vaginal examination is avoided, so it isn’t an indication for this maneuver.