Care of Mother, Child, and Adolescents
LESSON 1: LEOPOLD’S MANEUVER TRANS BY: SEAN VINCENT A. RODRIGUEZ
CONTENT
I. CHRISTIAN GERHARD LEOPOLD (1846-1911)
II. LEOPOLD’S MANEUVER
a. First Maneuver: Fundal Grip
b. 2nd Maneuver: Umbilical Grip
c. 3rd Maneuver: Pawlick's Grip
d. 4TH Maneuver: Pelvic Grip
CHRISTIAN GERHARD LEOPOLD (1846-1911)
 outstanding German gynecologist
 an extraordinary professor
 1877-1883 taught Midwifery in Leipzig
 became the director of the Dresden Royal
Gynecological Infirmary
LEOPOLD’S MANEUVER
 a series of specific palpations of the pregnant
uterus to determine fetal presentation and
position
FIRST MANEUVER: FUNDAL GRIP
BSN 2-A
BSN 1-C
WHAT OCCUPIES THE FUNDUS?
 Face the woman’s head with both hands, feel
the height of the fundus.
 Which part of the fetus do you feel?
Palpate the uterus by feeling the upper
abdomen with both hands
Head feels hard and round, freely movable
and ballotable
2ND MANEUVER: UMBILICAL GRIP
 Feel the sides of the uterus to find the position
of the baby’s back and extremities.
Back feels smooth
Extremities feel irregular
 Gently grasp the lower portion of the abdomen
just above the symphysis pubis b/w thumb and
the fingers of the one hand.
 Then press together. If the presenting part is not
engaged a movable body is felt.
3RD MANEUVER: PAWLICK'S GRIP
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 Care of Mother, Child, and Adolescents

LESSON 1: LEOPOLD’S MANEUVER TRANS BY: SEAN VINCENT A. RODRIGUEZ

BSN 2-A
BSN 1-C
IDENTIFY PRESENTING PART

 Grasp area immediately above the symphysis

between thumb and fingers
HEAD: hard and round, movable if not
engaged
BREECH: feels softer and irregular

4TH MANEUVER: PELVIC GRIP

 Face the woman’s feet. Place fingers on both

sides of the lower abdomen and press
downwards and inwards (tip of the first 3 fingers
are placed on both sides about 2 inches above
the poupart’s ligament.)
 Pressure is now made downward and the
direction of the birth canal, the movable skin of
the abdomen being carried downward along
with the fingers
 Determine fetal occipital prominence
 Helps to identify the presenting part and
whether it is engaged
 The fingers of one hand meet no obstruction
and be carried downward well under Poupart’s
Ligament. These fingers glide over the nape of
the baby’s back’s neck
 The other hand however usually meets an
obstruction an inch or so above the Poupart’s
Ligament.
 This is the brow of the baby and is usually
spoken of as the cephalic prominence.

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