LEOPOLD'S MANEUVERS 1 4 maneuvers described by Leopold in 1894 Leopold's Maneuvers: Determining Fetal Position in the Uterus [Digital image]
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LEOPOLD'SMANEUVERS1LEOPOLD'S MANEUVERSLast updated January 2019Maria Giroux, HBSc, MD
LEOPOLD'SMANEUVERS2Leopold's Maneuvers•4 maneuvers described by Leopold in 1894•Used to diagnose fetal presentation•Can be used in late pregnancy and during labourbetween contractions•Difficult if obese, polyhydramnios, or anterior placenta •Can estimate fetal size •Poor correlation if obese Accuracy of Leopold's•Sensitivity: 88%•Specificity: 94%•PPV (true +): 74%•NPV (true -): 97%
LEOPOLD'SMANEUVERSLeopold maneuversLeopold's Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved from http://sciteachers.tumblr.com/post/146569410584/janellerose-leopolds-maneuvers-determining[Leopold's maneuvers]. (n.d.). Retrieved from https://medicine.academic.ru/138709/Leopold_maneuvers
LEOPOLD'SMANEUVERS41. Uterine Fundus•Used to determine fetal lie and which fetal pole (cephalic or podalic) occupies fundus •Palpate fundus•Head: round, more mobile•Breech: large, nodular massLeopold's Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved from http://sciteachers.tumblr.com/post/146569410584/janellerose-leopolds-maneuvers-determining[Leopold's maneuvers]. (n.d.). Retrieved from https://medicine.academic.ru/138709/Leopold_maneuvers
LEOPOLD'SMANEUVERS52. Fetal Orientation•Used to determine position of fetal back •Place palms on either side of maternal abdomen, exert gentle deep pressure •Back: hard, resistant structure •Directed anteriorly, posteriorly, transversely •Fetal extremities: numerous small irregular mobile parts Leopold's Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved from http://sciteachers.tumblr.com/post/146569410584/janellerose-leopolds-maneuvers-determining[Leopold's maneuvers]. (n.d.). Retrieved from https://medicine.academic.ru/138709/Leopold_maneuvers
LEOPOLD'SMANEUVERS63. Fetal Presentation•Used to confirm fetal presentation (cephalic vs breech)•The thumb and fingers of 1 hand grasp the lower portion of maternal abdomen above pubic symphysis •Not engaged-movable mass is felt Leopold's Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved from http://sciteachers.tumblr.com/post/146569410584/janellerose-leopolds-maneuvers-determining[Leopold's maneuvers]. (n.d.). Retrieved from https://medicine.academic.ru/138709/Leopold_maneuvers
LEOPOLD'SMANEUVERS74. Degree of Descent•Used to determine the degree of descent•Face pt'sfeet, position fingertips of both hands on either side of the presenting part àexert inwards pressure, slide caudadalong the axis of pelvic inlet •When the head has descended, can feet anterior shoulder or the space created by the neck from the head Leopold's Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved from http://sciteachers.tumblr.com/post/146569410584/janellerose-leopolds-maneuvers-determining[Leopold's maneuvers]. (n.d.). Retrieved from https://medicine.academic.ru/138709/Leopold_maneuvers
LEOPOLD'SMANEUVERS8ReferencesCunningham, F., Leveno, K., Bloom, S., Spong, C., Dashe, J., Hoffman, B., & Casey, B. (2018).William's obstetrics(25th ed.). New York: McGraw-Hill Education.
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