Scribd Logo
Upload

Welcome to Scribd!

  • 156 views

    Leopolds

    Uploaded by

    Mhianne Sarmiento
    Leopold's maneuver is a systematic method to determine fetal position, presentation, lie, and attitude through palpation and observation. It involves four specific grips and maneuvers to assess the fetal head, back, limbs, and degree of engagement. Performing Leopold's maneuver after 24 weeks gestation can help predict if delivery will be complicated and may indicate need for Caesarean section.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Leopolds

    Uploaded by

    Mhianne Sarmiento
    156 views2 pages
    Leopold's maneuver is a systematic method to determine fetal position, presentation, lie, and attitude through palpation and observation. It involves four specific grips and maneuvers to assess the fetal head, back, limbs, and degree of engagement. Performing Leopold's maneuver after 24 weeks gestation can help predict if delivery will be complicated and may indicate need for Caesarean section.

    Original Description:

    Leopolds Manuever

    Original Title

    leopolds

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Leopold's maneuver is a systematic method to determine fetal position, presentation, lie, and attitude through palpation and observation. It involves four specific grips and maneuvers to assess the fetal head, back, limbs, and degree of engagement. Performing Leopold's maneuver after 24 weeks gestation can help predict if delivery will be complicated and may indicate need for Caesarean section.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    156 views2 pages

    Leopolds

    Uploaded by

    Mhianne Sarmiento
    Leopold's maneuver is a systematic method to determine fetal position, presentation, lie, and attitude through palpation and observation. It involves four specific grips and maneuvers to assess the fetal head, back, limbs, and degree of engagement. Performing Leopold's maneuver after 24 weeks gestation can help predict if delivery will be complicated and may indicate need for Caesarean section.

    Copyright:

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

    Leopold's maneuver is a 

    systematic method of observation and palpation to determine


    fetal position, presentation, lie and attitude which helps in predicting course of labor. With
    correct assessment and findings, it can indicate whether the delivery would be complicated or if
    the mother would need to undergo Caesarian delivery.

    Leopold’s Maneuver is preferably performed after 24 weeks gestation when fetal outline can be
    already palpated.

    Preparation:
    1. Instruct woman to empty her bladder first.
    2. Place woman in dorsal recumbent position, supine with knees flexed to relax abdominal
    muscles. Place a small pillow under the head for comfort.
    3. Drape properly to maintain privacy.
    4. Explain procedure to the patient.
    5. Warms hands by rubbing together. (Cold hands can stimulate uterine contractions).
    6. Use the palm for palpation not the fingers.

    Purpose Procedure Findings


    First To determine fetal Using both hands, feel for Head is more firm, hard and round
    Maneuver: part lying in the the fetal part lying in the that moves independently of the
    Fundal Grip fundus. fundus. body.
    To determine Breech is less well defined that
    presentation. moves only in conjunction with the
    body.
    Second To identify location of One hand is used to Fetal back is smooth, hard, and
    Maneuver: fetal back. steady the uterus on one resistant surface
    Umbilical To determine side of the abdomen Knees and elbows of fetus feel
    Grip position. while the other hand with a number of angular
    moves slightly on a nodulation
    circular motion from top
    to the lower segment of
    the uterus to feel for the
    fetal back and small fetal
    parts.
    Use gentle but deep
    pressure.
    Third To determine Using thumb and finger, The presenting part is notengaged
    Maneuver: engagement of grasp the lower portion if it is not movable.
    Pawlik’s Grip presenting part. of the abdomen above It is not yet engaged if it is still
    symphisis pubis, press in movable.
    slightly and make gentle
    movements from side to
    side.
    Fourth To determine the Facing foot part of the Good attitude – if brow
    Maneuver: degree of flexion of woman, palpate fetal correspond to the side (2nd
    Pelvic Grip fetal head. head pressing downward maneuver) that contained the
    To determine attitude about 2 inches above the elbows and knees.
    or habitus. inguinal ligament. Poor atitude – if examining fingers
    Use both hands. 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)
    7. Record and Document the findings noted.

    BRENDALYN E. GRANDFLOR, RM, BSM


    Clinical Coordinator

    You might also like