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Leopold'S Maneuver: Definition

Leopold's maneuver is a method used to determine fetal position through external palpation of the mother's abdomen. It involves four maneuvers to identify characteristics like presentation, lie, and descent of the fetus. The maneuvers are performed by feeling the uterine fundus and sides, grasping the lower uterine segment, and pressing above the pubic symphysis. This allows assessment of fetal position and engagement in the birth canal. Timing uterine contractions monitors labor progress by measuring frequency, duration, and intensity of contractions over time. Regular contractions with increasing strength and decreasing interval indicate progression of labor.

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Jyra Mae Taganas
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180 views3 pages

Leopold'S Maneuver: Definition

Leopold's maneuver is a method used to determine fetal position through external palpation of the mother's abdomen. It involves four maneuvers to identify characteristics like presentation, lie, and descent of the fetus. The maneuvers are performed by feeling the uterine fundus and sides, grasping the lower uterine segment, and pressing above the pubic symphysis. This allows assessment of fetal position and engagement in the birth canal. Timing uterine contractions monitors labor progress by measuring frequency, duration, and intensity of contractions over time. Regular contractions with increasing strength and decreasing interval indicate progression of labor.

Uploaded by

Jyra Mae Taganas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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LEOPOLD’S MANEUVER

DEFINITION:

- A systematic method of diagnosing the fetal position by external palpation of the mother’s abdomen.
- It is one of the methods in determining fetal presentation.

PURPOSES:

1. to identify number of fetuses.

2. To identify fetal presentation, lie, presenting part, degree of descent and fetal attitude

3. to identify PMI of FHT in relation to the woman’s abdomen

4. to monitor the descent and internal rotation of the fetuses

EQUIPMENT:
- stethoscope

STEPS NURSING RESPONSIBILITIES RATIONALE


1. Wash hands. Follow the steps in doing medical To prevent nosocomial infection.
handwashing.
2. Empty the bladder of the patient. Offer bedpan or assist the patient to To increase maternal comfort
the comfort room.
3. Compute the following: To provide data base for the next
a. OB score steps in the nursing process
b. EDC
c. AOG
4. Do physical assessment.

Procedure:

FIRST MANEUVER

1. Position the patient. Provide one (1) pillow under the To ensure comfort and relieve
woman’s head with her knees slightly tension of abdominal musculature.
flexed.

2. Stand facing the mother. Right-handed should stand at To facilitate examination by using
woman’s right facing her. dominant hand.

3. Palpate the uterine fundus with Observe the following points To determine the content of the
warm hands. according to relative consistency, fundus.
shape and mobility.

4. Determine which part of the body To identify fetal presentation.


lies on the upper fundus.

SECOND MANEUVER

1. Move both hands down on each Place both palms surface on either
sides of the uterus side of the abdomen and apply gentle
pressure. One side of the hand
remains still to steady the uterus
while the other hand does slight
circular motion.

2. Determine which side of the uterus Locate the fetal back in relation to
has the long axis of the fetus is right and left side of the woman’s
located.
abdomen. Feel the fetal outline by
palpation.

3. Check the fetal heartbeat. Listen and count the bat for one full To assess the fetal heart tone
minute. accurately.
Avoid friction noises caused by
fingers on abdominal surface area.
Distinguish other abdominal sounds.

THIRD MANEUVER

1. Grasp the lower uterine segment Find the head at the pelvic inlet. To confirm the presenting part.
with the thumb and fingers.

2. Identify the presenting part. Check for engagement by evaluating To assist in assessing fetal well-being.
mobility.

3. Determine if engagement has


occurred.

FOURTH MANEUVER

1. Face the patient’s feet.

2. press downward on both sides of Palpate just above the inguinal To determine the relationship of the
the patient’s uterus about 2 inches ligament in either side of the presenting part to the pelvis.
above the symphysis pubis. abdomen.

3. Confirm the presenting part.

4. Chart fetal presentation. To provide data base for future


findings.

TIMING OF UTERINE CONTRACTION


PURPOSES:

1. To monitor the progress of woman’s labor

2. to know the frequency, interval and duration

DEFINITIONS:

Contractions – is a rhythmic tightening of the musculature of the upper uterine segment that begins mildly and

becomes very strong late on labor

Types:

 Regular contractions - Contractions are considered regular when the duration and frequency are stable over a
period of time.

 An example is contractions lasting 60 seconds and coming five minutes apart for an hour.

 Irregular contractions - Contractions are irregular when there isn't a stable pattern.

 An example is a series of three contractions lasting between 30 and 45 seconds and coming 10, seven
and then 15 minutes apart.
 Progressing contractions - Contractions that are lasting longer and getting closer together are considered to be
progressing.

 Non-progressing contractions - Contractions that are not getting longer, stronger and closer together. This may
mean that the contractions are not opening the cervix.

Frequency – the rate at which contractions are occurring at a particular time

- - is timed from the start of one contraction to the start of the next. It includes the contraction as well as
the rest period until the next contraction begins. This time is measured in minutes.

Duration – how long the contractions last

- is timed during the first feel of a contraction until it is over. This time is usually measured in seconds.

Intensity - the length of a uterine contraction; the degree of strength or hardness of the uterine contraction

PROCEDURE:

STEPS NURSING RESPONSIBILITIES RATIONALE

1. Explain the procedure to the Follow the steps in doing medical To prevent nosocomial infection.
patient. handwashing.

2. Assist patient to a comfortable To elicit cooperation


supine position with pillow on her
head.

3. Sit on one side of the bed facing


the patient.

4. Rest on hand on the abdomen of Rest hand gently on the fundus of the To enable you to sense the gradual
the woman in labor. uterus upward rising of the fundus

5. Time the frequency and duration. Record the results on your To record the progress of labor.
monitoring sheet.

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