What is the best management for a prolapsed cord?

For a prolapsed umbilical cord, keeping the presenting part off the cord is crucial to prevent compromised blood flow and oxygen supply to the fetus. By inserting two fingers into the vagina to elevate the presenting part, you create space between the cord and the fetus, reducing the pressure on the cord. This intervention helps to minimize the risk of cord compression, which is a critical concern when a cord is prolapsed.

Other management options, while they may be considered in different circumstances, do not address the immediate need to relieve pressure on the cord. Keeping the mother supine does not prevent cord compression and may even exacerbate the situation. Transporting the mother to a hospital or performing a cesarean section are appropriate actions in the broader context of managing labor and delivery, but they do not provide the necessary immediate intervention to protect the fetus from the effects of a prolapsed cord. Immediate action to relieve pressure on the cord is a priority in this situation, making the described technique the most effective management strategy.