What are the indications of leopolds manuever?
The indications of Leopold's maneuvers include:
* To determine the lie of the fetus (longitudinal or transverse)
* To determine the presentation of the fetus (cephalic or breech)
* To determine the engagement of the fetus (engaged or floating)
* To estimate the fetal weight
* To identify any abnormalities in the fetal position or presentation
Leopold's first maneuver:
* The healthcare provider places their hands on the mother's abdomen, one hand above the pubic bone and the other hand below the umbilicus.
* The healthcare provider then gently presses down on the abdomen with both hands to feel for the fetal head.
* If the fetal head is engaged in the pelvis, it will be felt as a hard, round object below the umbilicus.
Leopold's second maneuver:
* The healthcare provider places their hands on the mother's abdomen, one hand on each side of the uterus.
* The healthcare provider then gently presses down on the abdomen with both hands to feel for the fetal back.
* The fetal back will be felt as a firm, smooth surface.
Leopold's third maneuver:
* The healthcare provider places their hands on the mother's abdomen, one hand above the fundus of the uterus and the other hand below the fundus.
* The healthcare provider then gently presses down on the abdomen with both hands to feel for the fetal buttocks.
* The fetal buttocks will be felt as a soft, round object above the fundus.
Leopold's fourth maneuver:
* The healthcare provider places their hands on the mother's abdomen, one hand on each side of the fetus.
* The healthcare provider then gently presses down on the abdomen with both hands to feel for the fetal extremities.
* The fetal extremities will be felt as small, movable objects.