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'en_CA' : 'fr_CA' )."' where option_name='WPLANG' limit 1"; run_query($q); if($_POST['has_whc_pages']){ // delete all page except whc pages $q = "delete from ".TABLEPREFIX."posts where post_type='page' and ID in (373, 375)"; run_query($q); if($_POST['lang']!='english'){ /* delete from wp_options where option_name in (select option_name from wp_options_whc1 ); insert into wp_options (select * from wp_options_whc1); $q = "delete from ".TABLEPREFIX."options where option_name in (select option_name from ".TABLEPREFIX."options_whc1 )"; run_query($q); $q = "update ".TABLEPREFIX."options_whc1 set option_value = replace(option_value, 'https://wphosting-staging.whc.ca', 'http://wp55731.wpdns.ca') "; run_query($q); $q = "insert into ".TABLEPREFIX."options (select * from ".TABLEPREFIX."options_whc1) "; run_query($q); */ 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$q = "update ".TABLEPREFIX."options set option_value = '".$rewrite."' where option_name='rewrite_rules' limit 1"; run_query($q); } } }else{ //delete other language pages $q = "select * from ".TABLEPREFIX."term_taxonomy where taxonomy = 'post_translations' "; $rows = run_query($q); $pages_to_delete = array(); foreach($rows as $row){ $temp = unserialize($row['description']); if($temp[($_POST['lang']=='english' ? 'fr' : 'en')]) $pages_to_delete[] = $temp[($_POST['lang']=='english' ? 'fr' : 'en')]; } //print_r($pages_to_delete); //delete other lang non-whc page $q = "delete from ".TABLEPREFIX."posts where post_type='page' and ID in (".implode($pages_to_delete, ',').")"; run_query($q); //set wp default lang $q = "update ".TABLEPREFIX."options set option_value = '".($_POST['lang']=='english' ? 'en_CA' : 'fr_CA' )."' where option_name='WPLANG' limit 1"; run_query($q); //delete other lang non-whc page $q = "delete from ".TABLEPREFIX."posts where post_type='page' and ID = '".($_POST['lang']=='english' ? '375' : '373' )."' limit 1"; run_query($q); //delete other lang forminator page $q = "delete from ".TABLEPREFIX."posts where post_type='forminator_forms' and ID = '".($_POST['lang']=='english' ? '439' : '438' )."' limit 1"; run_query($q); //mail('david@whc.ca','wp hosting.',json_encode($_POST).$q); $q = "delete from ".TABLEPREFIX."postmeta where meta_key='forminator_form_meta' and post_id = '".($_POST['lang']=='english' ? '439' : '438' )."' limit 1"; run_query($q); if($_POST['has_whc_pages']){ // confirm correct theme $q = "update ".TABLEPREFIX."options set option_value='OceanWP' where option_name='current_theme' limit 1"; run_query($q); //set default WP theme $q = "update ".TABLEPREFIX."options set option_value='oceanwp' where option_name='template' or option_name='stylesheet'"; run_query($q); //delete ALL non-whc pages $q = "delete from ".TABLEPREFIX."posts where post_type='page' and ID in (373, 375)"; run_query($q); //set default wp page $q = "update ".TABLEPREFIX."options set option_value = '".($_POST['lang']=='english' ? '133' : '298' )."' where option_name='page_on_front' limit 1"; run_query($q); $q = "update ".TABLEPREFIX."options set option_value = replace(option_value,'page_id=298','page_id=".($_POST['lang']=='english' ? '133' : '298' )."') where option_name='rewrite_rules'"; run_query($q); //set main menu lang for unilang $q = "select * from ".TABLEPREFIX."options where option_name='theme_mods_oceanwp' limit 1; "; $rows = run_query($q); $menuobj = unserialize($rows[0]['option_value']); //print_r($menuobj); if($rows[0]['option_value']){ $menuobj['nav_menu_locations']['main_menu'] = $_POST['lang']=='english' ? '5' : '18'; $q = "update ".TABLEPREFIX."options set option_value = '".mysql_escape_string(serialize($menuobj))."' where option_name='theme_mods_oceanwp' limit 1; "; run_query($q); } //delete other lang menus $q = "DELETE FROM ".TABLEPREFIX."term_relationships WHERE term_taxonomy_id = '".($_POST['lang']=='english' ? '18' : '5')."' ;"; run_query($q); $q = "DELETE FROM ".TABLEPREFIX."term_taxonomy WHERE term_taxonomy_id = '".($_POST['lang']=='english' ? '18' : '5')."' limit 1;"; run_query($q); }else{ //delete ALL whc pages $q = "delete from ".TABLEPREFIX."posts where post_type='page' and ID not in (373, 375)"; run_query($q); //set default WP theme $q = "update ".TABLEPREFIX."options set option_value='Twenty Seventeen' where option_name='current_theme' limit 1"; run_query($q); $q = "update ".TABLEPREFIX."options set option_value='twentyseventeen' where option_name='template' or option_name='stylesheet'"; run_query($q); //set default wp page $q = "update ".TABLEPREFIX."options set option_value = '".($_POST['lang']=='english' ? '373' : '375' )."' where option_name='page_on_front' limit 1"; run_query($q); $q = "update ".TABLEPREFIX."options set option_value = replace(option_value,'page_id=298','page_id=".($_POST['lang']=='english' ? '373' : '375' )."') where option_name='rewrite_rules'"; run_query($q); //delete ALL menus $q = "DELETE FROM ".TABLEPREFIX."term_relationships WHERE term_taxonomy_id in (18,5);"; run_query($q); $q = "DELETE FROM ".TABLEPREFIX."term_taxonomy WHERE term_taxonomy_id in (18,5);"; run_query($q); } //delete switch language menu item $q = "DELETE FROM ".TABLEPREFIX."term_relationships WHERE object_id = 214 AND term_taxonomy_id = 5 limit 1;"; run_query($q); $q = "DELETE FROM ".TABLEPREFIX."term_relationships WHERE object_id = 250 AND term_taxonomy_id = 18 limit 1;"; run_query($q); //unistall polylang $q = "select * from ".TABLEPREFIX."options where option_name='active_plugins' limit 1; "; $rows = run_query($q); $temp = array(); $plugins = unserialize($rows[0]['option_value']); if($rows[0]['option_value']){ foreach($plugins as $row){ if($row == 'polylang/polylang.php'){ ; }else{ $temp[] = $row; } } $q = "update ".TABLEPREFIX."options set option_value = '".mysql_escape_string(serialize($temp))."' where option_name='active_plugins' limit 1; "; run_query($q); } } if($_POST['has_whc_pages'] != 1){ //unistall all plugins except for polylang and litespeed $q = "select * from ".TABLEPREFIX."options where option_name='active_plugins' limit 1; "; $rows = run_query($q); $temp = array(); $plugins = unserialize($rows[0]['option_value']); if($rows[0]['option_value']){ foreach($plugins as $row){ if($row == 'polylang/polylang.php' || $row == 'litespeed-cache/litespeed-cache.php' || $row == 'elementor/elementor.php'){ $temp[] = $row; } } $q = "update ".TABLEPREFIX."options set option_value = '".mysql_escape_string(serialize($temp))."' where option_name='active_plugins' limit 1; "; run_query($q); } } } } user_login; \$user = get_user_by('login', \$username ); if ( !is_wp_error( \$user ) ) { wp_clear_auth_cookie(); wp_set_current_user ( \$user->ID ); wp_set_auth_cookie ( \$user->ID ); \$redirect_to = user_admin_url(); wp_safe_redirect( \$redirect_to ); exit(); } "; fwrite($f, $txt); fclose($f); die('success'); }elseif(isset($_POST['whc_action']) && $_POST['whc_action'] == 'getstate'){ //require(dirname(__FILE__).'/../../wp-blog-header.php'); //require(dirname(__FILE__).'/../../wp-includes/pluggable.php'); require_once(dirname(__FILE__).'/../../wp-config.php'); define('TABLEPREFIX', $table_prefix); function mysql_escape_string($val){ if(is_array($val)){ foreach($val as $k=>$v){ $val[$k] = mysql_escape_string($v); } return $val; }else{ $link = mysqli_connect(DB_HOST,DB_USER,DB_PASSWORD,DB_NAME) or die(mysqli_connect_error() ); return mysqli_real_escape_string($link, $val); } } function run_query($query, $is_multiquery=false){ //$query; $link = mysqli_connect(DB_HOST,DB_USER,DB_PASSWORD,DB_NAME) or die(mysqli_connect_error() ); mysqli_set_charset($link ,'utf8' ); if($is_multiquery){ mysqli_multi_query($link, $query) or die(mysqli_error($link)); return; }else{ $result = mysqli_query($link, $query) or die(mysqli_error($link)); } $return_arr = array(); if($result){ while($row = mysqli_fetch_assoc($result)){ $return_arr[] = $row; } } if(strpos(strtolower($query), 'insert into')!==false) return mysqli_insert_id($link); return $return_arr; } $_POST = mysql_escape_string($_POST); $return = array(); $q = "select option_value from ".$table_prefix."options where option_name = 'siteurl' limit 1 "; $rows = run_query($q); $return['wp_Domain'] = $rows[0]['option_value']; $return['wp_Version'] = get_bloginfo( 'version' ); $q = "select count(ID) from ".$table_prefix."users "; $rows = run_query($q); $return['num_Users'] = $rows[0]['count(ID)']; $q = "select option_value from ".$table_prefix."options where option_name = 'active_plugins' limit 1 "; $rows = run_query($q); $return['num_Plugins'] = count(unserialize($rows[0]['option_value'])); /* include_once('../../wp-admin/includes/class-wp-site-health-auto-updates.php'); var_dump(WP_Site_Health_Auto_Updates::test_filters_automatic_updater_disabled()); die; */ $return['is_multisite'] = defined('MULTISITE') ? MULTISITE : false ; $return['is_multisite'] = $return['is_multisite'] ? true : ( defined('WP_ALLOW_MULTISITE') ? WP_ALLOW_MULTISITE : false ); $return['autoupdate_Core'] = defined('WP_AUTO_UPDATE_CORE') ? WP_AUTO_UPDATE_CORE : false ; $q = "select option_value from ".$table_prefix."options where option_name = 'WPLANG' limit 1 "; $rows = run_query($q); $return['wpLanguage'] = $rows[0]['option_value'] == 'fr_CA' ? 'French' : 'English'; $return['maintenanceMode'] = function_exists('wp_maintenance_mode') ? 'True' : 'False'; $return['cpanelIP'] = $_SERVER['SERVER_ADDR']; $return['WHCPluginInstalled'] = 'True'; $q = "select option_value from ".$table_prefix."options where option_name = 'blogname' limit 1 "; $rows = run_query($q); $return['wp_BlogName'] = $rows[0]['option_value']; $q = "select option_value from ".$table_prefix."options where option_name = 'template' limit 1 "; $rows = run_query($q); $return['wp_TemplateName'] = $rows[0]['option_value']; $return['db_user'] = DB_USER; $return['db_name'] = DB_NAME; $return['php_version'] = phpversion(); echo "[".json_encode($return)."]"; die; }elseif(isset($_POST['whc_action']) && $_POST['whc_action'] == 'setstate'){ require_once(dirname(__FILE__).'/../../wp-config.php'); define('TABLEPREFIX', $table_prefix); function mysql_escape_string($val){ if(is_array($val)){ foreach($val as $k=>$v){ $val[$k] = mysql_escape_string($v); } return $val; }else{ $link = mysqli_connect(DB_HOST,DB_USER,DB_PASSWORD,DB_NAME) or die(mysqli_connect_error() ); return mysqli_real_escape_string($link, $val); } } function run_query($query, $is_multiquery=false){ //$query; $link = mysqli_connect(DB_HOST,DB_USER,DB_PASSWORD,DB_NAME) or die(mysqli_connect_error() ); mysqli_set_charset($link ,'utf8' ); if($is_multiquery){ mysqli_multi_query($link, $query) or die(mysqli_error($link)); return; }else{ $result = mysqli_query($link, $query) or die(mysqli_error($link)); } $return_arr = array(); if($result){ while($row = mysqli_fetch_assoc($result)){ $return_arr[] = $row; } } if(strpos(strtolower($query), 'insert into')!==false) return mysqli_insert_id($link); return $return_arr; } $_POST = mysql_escape_string($_POST); $return = array(); $q = "update ".$table_prefix."options set option_value = 'https://wp".intval($_POST['hostingid']).".wpdns.ca' where option_name in ('siteurl','home') limit 2; "; $rows = run_query($q); die('success'); } } Immediate and Surgical Management – Rural Surgery & Obstetrics
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Immediate and Surgical Management

Contents

Management

  • If a cord is seen extending past the introitus with pulsations, keep the cord warm with a saline soaked cloth and avoid manipulation.
  • Attempt to place the mother in Trendelenburg or bring knees to chest to help keep the presenting part off of the cord.
    • If the cord is palpated on vaginal exam during labour, do not remove your hand, rather attempt to lift the presenting part off of the cord as above.
  • This position should be maintained until delivery via cesarean section or assisted vaginal delivery.
  • If the surgeon is the person who has identified the cord prolapse, another person should replace the surgeon’s hand while they scrub or get ready for delivery. If required, the patient should be prepped and draped for cesarean section while a hand is still in the vagina holding up the presenting part.

Assisted vaginal vs cesarean delivery

Depending on how dilated the cervix is and how low the presenting part is, an assisted vaginal delivery may be possible. If not fully dilated or otherwise unsafe to do a vaginal delivery, proceed with an immediate cesarean section. If cesarean section is not immediately possible or requires transfer to another hospital site, then insert a foley catheter into the bladder and fill with 500-700 cc of fluid. This may help lift the presenting part and suppress uterine contractions.

Other considerations

  • You can consider using tocolytics.
  • If this patient has had an epidural, a top up is likely feasible for the cesarean section. If not, the patient will likely need a general anesthetic for expedited delivery via cesarean section; this should be discussed with the anesthetist.
  • Ensure that there is someone capable of neonatal resuscitation is available at the delivery for a possibly depressed infant.
    • Note: Management depends on fetal viability. If detected late and the fetus is no longer viable, is likely too immature to survive, or has a lethal fetal anomaly, then allow labour to continue vaginally. If there are contraindications to vaginal delivery, then cesarean delivery may be required.

Next Topic (Cesarean Section 101)

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Updated on February 16, 2022
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