Leopold\'s Maneuvers - Lecture notes 1 PDF

Preview

Summary

Maternal and Child Nursing - Leopold's Maneuvers...

Description

LEOPOLD’S MANUEVERS

Fundal Grip The first maneuver is called fundal grip. Here we stand facing the client’s head. It is performed by placing your hands on the top and sides of the fundus. Here we assess the fetal body parts on the fundus taking notes of the size, shape and consistency. Also note the location of the longitudinal access of the fetus

Umbilical Grip The second maneuver is known as the umbilical grip which is used to identify fetal presentation. First, place the hand on the either side at the middle of the abdomen. Then, palpate the contents of the abdomen with one hand starting at mid-abdomen near the fundus moving posteriorly towards the patients back and down to the symphysis pubis while the other hand pushes the content of the abdomen towards the palpating hand for stabilization. Palpate the abdomen to identify the fetal back which is firm smooth and consistent then the smaller fetal parts which are irregular and

protruding. Reverse hand and perform the same thing on the other side of the abdomen. Pawlik’s maneuver The third maneuver is also known as Pawlik’s maneuver is performed to identify the engagement of the fetal presenting part. Grasp the part of the fetus situated at the pelvic brim using the palm and middle finger of one hand with firm gentle pressure to identify whether the head is presenting. The presenting part is not engaged in the pelvis if it is movable conversely if it is fixed and not movable it is engaged in the pelvis. Palpate the presenting part. The fetal head is firm, regular and round. Other fetal parts are irregular and feels softer Pelvic Grip The fourth maneuver is called th Pelvic Grip. It is usedtTo identify fetal attitude or cephalic prominence and to verify engagement. Unlike the first few maneuvers here we stand facing the client’s feet. We place our hands on the sides of the uterus below the umbilicus with fingers pointed at the symphysis pubis. With the fingertips press deeply towards the pelvic inlet while feeling for the cephalic prominence. Verify engagement by moving the hands towards the pelvic brim to determine if the presenting part is

engaged in the pelvis. The presenting part is not engaged if the hands comes around the presenting part. If the hands stay apart, the presenting part is considered dipping or engaged in the pelvis...