Determine if cord compression followed the rupture
After the rupture of the bag of waters. the cord may also go with the water because of the pressure of the rupture and flow. If the cord goes out of the cervical opening. before the head is delivered (cephalic presentation). the head can compress on the cord causing fetal distress. Fetal distress can be detected through the fetal heart tone. Thus. it is essential do check the FHB right after rupture of bag to ensure that the cord is not being compressed by the fetal head.