UNIVERSITY of SAINT LOUIS

Tuguegarao City

SCHOOL OF HEALTH AND ALLIED SCIENCES

Name: __________________________________________________ Date: __________________

Course/Year : ____________________ Set/Group #: ____________

LEOPOLD’S MANEUVER

Instruction: Please put a check ( ) mark on the appropriate column.

PREPARATION
1. Introduce yourself and verify the client’s identity. Explain to the client and the family what you
are going to do and why it is necessary and how the client can cooperate.
2. Perform hand hygiene and observe other appropriate infection control procedures.
3. Provide for client privacy by drawing the curtains or closing the door.
4. Prepare the client.
a. Instruct the client to empty the bladder.
b. Position the woman supine with knees slightly flexed. Place a small pillow or folded towel
under one hip.
c. Drape patient. Expose the abdomen only.
d. Wash your hands using warm water or rub your hands.
PROCEDURE
5. Perform the first maneuver.
a. Stand beside the woman, facing her and place both hands flat on her abdomen.
b. Palpate the uterine fundus. Determine consistency, shape and mobility.
6. Perform the second maneuver.
a. Face the client and place the palms of each hand on either side of the abdomen.
b. Palpate the sides of the uterus.
 Hold the left hand stationary on the left side of the uterus while the right hand palpates the
opposite side of the uterus from top to bottom.
 Then hold the right hand steady and repeat palpation using the left hand on the left side.
7. Perform the third maneuver.
 Gently grasp the lower portion of the abdomen just above the symphysis pubis between the
thumb and index finger and try to press the thumb and finger together. Determine any movement
and whether the part is form or soft.
8. Perform the fourth maneuver.
a. Turn so that you face the woman’s feet.
b. Place fingers on both sides of the uterus with your fingers pointed towards the pelvic inlet to
determine whether the head is flexed (vertex) or extended (face). Slide your hands
downward and inward on each side of the uterus.