What are the uses of leopolds maneuver?

Answer 1

The first step is feeling the top of the uterus or fundus. This is done to find out what end of the fetus is in the upper part of the uterus. The second step is applying firm pressure to the sides of the abdomen to check where the spine and extremities are. The third step is grasping the lower abdomen using the thumb and fingers to see if the presenting part is engaged. Lastly, deep pressure is applied in the direction of the axis of the pelvic outlet to establish cephalic prominence.

Answer 2

This is another name for an abdominal palpation on a pregnant woman.

1. The midwife first checks the baby's heart beat and will then check the height of the fundus (the top of the womb/uterus). This is called the Fundal Grip. This is a good indication of how many weeks pregnant the woman is as well as checking whether the baby is lying breech or head down. The midwife can feel whether a head or a baby's bottom is at the top of the uterus.

2. The midwife then feels (palpates) down each side of the abdomen to determine which side the baby's back is lying - to the left or the right, front or back. The majority of babies lie with their back towards the mothers belly. The baby's limbs may also be felt doing this.

3. The midwife then feels down the bottom of the abdomen (just above the pubic bones). This is called Pawlicks grip. The midwife will determine whether a head or a breech (baby's bottom) is in this area. The midwife can also tell how far down the head is in the pelvis. If the head is well down, it is said to be "engaged" in the pelvis and cannot be balloted (moved from side to side). The head or the the breech is then known as the "presenting part". In most cases, the baby is head down. The presenting part is the head. (Pawlicks grip can be uncomfortable and it is not done in some cases)

4. The midwife will then gently feel the pelvic are to detect how much of the baby's head is in the pelvis and whether the baby's head is well tucked in by feeling how much of the baby's brow can be felt. If very little of the brow is felt then the baby is flexed. (in a chin to chest position). This is the best position for delivery. If the midwife feels the baby's bottom then an ultrasound scan is required to confirm a breech presentation.

5. The midwife will then check the baby's heart beat again.

This procedure is an excellent way for an experienced midwife to determine the size, position and the presenting part of the baby. An ultrasound may be used to confirm the findings if there is any doubt.

I hope I have explained this clearly enough - I have done thousands of these over my midwifery career.

Answer 3

This is a technique used by a healthcare provider to determine the baby's position in the womb - both facing (up or down) and lie (to the left or right).

Answer 4

leopold's maneuver may be done from the fifth of sixth month onwards

Answer 5

to see the position of the fetus