Lesson 2 Leopold's Maneuver

LEOPOLD’S MANEUVER

Table 6. Mnemonic on Leopold’s Maneuver

MANEUVER DESCRIPTION ASSESSMENT FOR BETTER

RETENTION :)

1ST (FUNDAL GRIP) -facing head of the -assess fetal part in the
mother fundus

-place both hands over *soft and round:

the fundus buttocks (CEPHALIC
position)
L1e
*hard and round: head
(BREECH position)

*nodular: extremities
(TRANSVERSE
position)

2nd (UMBILICAL) -face head part of the - determines fetal back

mother to assess FHT

-place one hand on Normal: 120-160 bpm

either side of the
abdomen to stabilize it
B2ck
-use the other hand to
palpate

3rd (PAWLIK’S GRIP) Use one hand to grasp Engaged: NON-

the presenting part over Movable
the symphysis pubis 3ngag3m3nt
Engaged: MOVABLE

4th (PELVIC GRIP) -face FOOT part of Tilt lightly

mother
-Flexion 4ttitude
-move the presenting
part with both hands

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 -Extension

PROCEDURE RATIONALE

1. Instruct woman to empty her bladder first. Provides comfort to the patient and
accurate assessment

2. Perform handwashing Promotes asepsis

3. Place woman in dorsal recumbent position. For accurate assessment. Recumbent

position provides comfort to the
pregnant client

4. Drape properly Maintains privacy; Decreases anxiety

5. Explain procedure to the patient. Decreases anxiety and elicits

cooperation from the patient

6. Warm hands by rubbing together. Promotes comfort. Cold hands may

stimulate fetal movement and uterine
7. Use palm for palpation not the fingers. contractions

IMPLEMENTATION

1. Fundal grip: Using both hands, feel for the fetal To determine fetal part lying in the
part lying in the fundus fundus.To determine presentation.

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 2. Umbilical grip: One hand is used to steady the To identify location of fetal back. To
uterus on one side of the abdomen while the other determine position.
hand moves slightly on a circular motion from top
to the lower segment of the uterus to feel for the
fetal back and small fetal parts.
Use gentle but deep pressure Determining the fetal back facilitates
auscultation of the FHR

3. Pawlik’s grip: Using thumb and finger, grasp the To determine engagement of
lower portion of the abdomen above symphysis presenting part.
pubis, press in slightly and make gentle
movements from side to side.

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 4. Pelvic grip: Facing foot part of the woman, To determine the degree of flexion of
palpate fetal head pressing downward about 2 fetal head.To determine attitude or
inches above the inguinal ligament. habitus.
Use both hands

5. Tell to the client about your findings. To alleviate anxiety of the patient.

6. Perform handwashing. Promotes asepsis

7. Record your findings

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