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    Leopold's Maneuver

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    PJ Amolar
    Leopold's Maneuvers are a series of four palpation techniques used to determine fetal presentation, position, engagement, and attitude. Maneuver 1 (fundal grip) identifies whether the fetal head or breech is lying in the fundus. Maneuver 2 (umbilical grip) locates the fetal back. Maneuver 3 (Pawlick's grip) assesses engagement of the presenting part. Maneuver 4 (pelvic grip) determines the degree of fetal head flexion and attitude. Performing all four maneuvers provides critical information about the fetus's position and status prior to delivery.

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    Leopold's Maneuver

    Uploaded by

    PJ Amolar
    1K views2 pages
    Leopold's Maneuvers are a series of four palpation techniques used to determine fetal presentation, position, engagement, and attitude. Maneuver 1 (fundal grip) identifies whether the fetal head or breech is lying in the fundus. Maneuver 2 (umbilical grip) locates the fetal back. Maneuver 3 (Pawlick's grip) assesses engagement of the presenting part. Maneuver 4 (pelvic grip) determines the degree of fetal head flexion and attitude. Performing all four maneuvers provides critical information about the fetus's position and status prior to delivery.

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    Leopold's maneuver

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    Leopold's Maneuvers are a series of four palpation techniques used to determine fetal presentation, position, engagement, and attitude. Maneuver 1 (fundal grip) identifies whether the fetal head or breech is lying in the fundus. Maneuver 2 (umbilical grip) locates the fetal back. Maneuver 3 (Pawlick's grip) assesses engagement of the presenting part. Maneuver 4 (pelvic grip) determines the degree of fetal head flexion and attitude. Performing all four maneuvers provides critical information about the fetus's position and status prior to delivery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Leopold's Maneuver

    Uploaded by

    PJ Amolar
    Leopold's Maneuvers are a series of four palpation techniques used to determine fetal presentation, position, engagement, and attitude. Maneuver 1 (fundal grip) identifies whether the fetal head or breech is lying in the fundus. Maneuver 2 (umbilical grip) locates the fetal back. Maneuver 3 (Pawlick's grip) assesses engagement of the presenting part. Maneuver 4 (pelvic grip) determines the degree of fetal head flexion and attitude. Performing all four maneuvers provides critical information about the fetus's position and status prior to delivery.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    4.

    Leopold’s Maneuver – is a systematic method of observation and palpation to determine fetal


    presentation and position and it is done as part of physical examination.
    4.1 Leopold’s Maneuver

    MANEUVER PURPOSE PROCEDURE FINDINGS

    L1: To determine fetal Stand at the foot of Head - more firm,


    part lying in the the woman facing hard and round that
    Fundal Grip fundus. her, and place both moves independently
    hands flat on her of the body
    To determine abdomen. Palpate
    presentation. the superior surface Breech - less well
    of the fundus. defined that moves
    Determine only in conjunction
    consistency, shape with the body
    and mobility.

    L2: To identify location of Face the woman, Fetal back - smooth,


    fetal back. hold the left hand hard resistant
    Umbilical Grip stationary to the left surface
    To determine side of the uterus
    position. while you palpate Knees and elbows –
    with the right hand feel with a number of
    on the opposite side angular nodulation
    of the uterus from top
    to bottom. Repeat
    palpation using the
    opposite side.

    L3: To determine Gently grasp the The presenting part


    engagement of lower portion of the is engaged if it is not
    Pawlick’s Grip presenting part abdomen just above movable. It is not yet
    the symphysis pubis engaged if it is
    between the thumb movable.
    and fingers and try to
    press the thumb and
    fingers together.
    Determine any
    movement and
    whether the part
    feels firm or soft.

    L4: To determine the Place fingers on both Good attitude if


    degree of flexion of sides of the uterus brow correspond
    Pelvic Grip fetal head. approximately 2 in. to the side (2nd
    above the inquinal maneuver) that
    To determine attitude ligaments, pressing
    contained the
    of habitus downward and
    elbows and
    inward in the
    direction of the birth knees.
    canal. Allow fingers
    to be carried Poor attitude if
    downward. examining fingers
    will meet an
    obstruction on
    the same side as
    fetal back
    (hyperextended
    head).

    – also palpates
    infant’s
    anteroposterior
    position. If brow
    is very easily
    palpated, fetus is
    at posterior
    position (occiput
    pointing towards
    woman’s back).

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