Leopold’s Manaeuver

8/14/2019 Leopolds Manaeuver

1/30

eopold s Manaeuvereopold s Manaeuver. ,EFFREY A LUCERO . .L

III Bachelor of Science in Nursing, ,Cavite State University Indang Cavite


2/30

ContentsContents

DefinitionPreparatory ProceduresManaeuvers

First ManaeuverSecond ManaeuverThird Manaeuver

Fourth Manauver


3/30

DefinitionDefinition

a common and systematic way todetermine the position of a fetus insidethe woman's uterus

named after the gynecologist ChristianGerhard Leopold

also used to estimate term fetal weight


4/30

reparatoryreparatoryProceduresrocedures


5/30

1. Instruct woman

to empty herbladder first.


6/30

Rationale:

The full bladder

may be mistakenly apart of the fetus.


7/30

2. Place woman in dorsalrecumbent position, supinewith knees flexed to relax

abdominal muscles. Place asmall pillow under the headfor comfort.


8/30

Rationale:

This easily exposes

the body part to beexamined.


9/30

3. Drape the client

properly.


10/30

Rationale:

This promotes

privacy.


11/30

4. Explain procedure tothe patient.


12/30

Rationale: This make the clientknowledgeable and

establishes rapport betweenthe her and the nurse.


13/30

5. Warm hands by rubbingtogether.


14/30

Rationale:

Cold hands can stimulateuterine contractions.


15/30

6. Use the palm forpalpation not the

fingers.


16/30

Rationale:

Doing so clearly verifiesthe accuracy of the

procedure.


17/30

Manaeuversanaeuvers


18/30

First manaeuver:Fundal GripFirst manaeuver:Fundal GripPurpose:1.To determine fetal part lying in the fundus.

2.To determine presentation.

Procedure: Using both hands, feel for the fetal

part lying in the fundus.


19/30

First manaeuver:Fundal GripFirst manaeuver:Fundal Grip


20/30

FindingsFindings

Head is more firm, hard and round that

moves independently of the body.

Breech is less well defined that movesonly in conjunction with the body.


21/30

Second manaeuver:Umbilical GripSecond manaeuver:Umbilical GripPurpose:1.To identify location of fetal back.2.To determine position.

Procedure: One hand is used to steady the uterus on

one side of the abdomen while the otherhand moves slightly on a circular motion

from top to the lower segment of theuterus to feel for the fetal back and smallfetal parts. Use gentle but deep pressure.


22/30

Second manaeuver:Umbilical GripSecond manaeuver:Umbilical Grip


23/30


24/30

Third manaeuver:Pawliks GripThird manaeuver:Pawliks GripPurpose:1.To determine engagement of presenting part.

Procedure: Using thumb and finger, grasp thelower portion of the abdomen abovesymphisis pubis, press in slightly andmake gentle movements from side toside.


25/30

Third manaeuver:Pawliks GripThird manaeuver:Pawliks Grip


26/30

FindingsFindings

The presenting part is not engaged if it isnot movable.

It is not yet engaged if it is still movable.


27/30

Fourth manaeuver:Pelvic GripFourth manaeuver:Pelvic GripPurpose:1.To determine the degree of flexion of fetal

head.

2.To determine attitude or habitus. Procedure:

Facing foot part of the woman, palpatefetal head pressing downward about 2

inches above the inguinal ligament.Use both hands.


28/30

Fourth manaeuver:Pelvic GripFourth manaeuver:Pelvic Grip


29/30

FindingsFindings

Good attitude if brow correspond to theside (2nd manaeuver) that contained theelbows and knees.

Poor atitude if examining fingers will meet

an obstruction on the same side as fetalback (hyperextended head) Also palpatesinfants anteroposterior position. If brow isvery easily palpated, fetus is at posteriorposition (occiput pointing towards womans

back)


30/30

some questions?some questions?

That s all for ..Leopold s Manaeuver

Documents

Leopold’s Manaeuver