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LEOPOLD'S MANEUVER
RICHARD HERMES TANTIADO, RM RN
 OBJECTIVES

AT THE END OF THE LECTURE, THE

STUDENTS WILL BE ABLE TO:
1. Identify the steps in performing Leopold's
Maneuver

2. Identify nursing considerations in

performing Leopold's Maneuver
 LEOPOLD'S
MANEUVER
- Are a common and systematic way to determine the
position of a fetus inside woman's uterus

- Are important because the help determine the position

and presentation of the fetus

- Named after the gynecologist Christian Gerhard

Leopold
 - Actual position can only be
LEOPOLD'S determined by UTZ performed
MANEUVER by a professional

- Maneuver is preferably performed after

24weeks AOG when fetal outline can be already
palpated.

- The maneuvers are not truly diagnostic

NURSING
C O N S I D E R AT I O N S
- Instruct woman to empty her bladder first.
- Place a woman in dorsal recumbent position, supine with knees
slightly flexed. Place a small pillow under the head for comfort.
- Drape properly to maintain privacy.
- Explain procedure to the patient
- Warms hands by rubbing together.
- Use palm palpation not the fingers.
FIRST MANEUVER
1. While facing the woman, palpate the
woman's upper abdomen with both hands.
2. Often determine the size, consistency,
shape and mobility of the form that is felt.
3. The fetal head is hard, firm, round and
moves independently of the trunk
4. The buttocks feel softer, are symmetric and
have small bony prominences; it moves with
the trunk.
 SECOND MANEUVER
1. The maneuver attempts to determine the
location of the fetal back.
2. Facing the woman, the health care provider
palpates each side of the abdomen gently but
deep pressure using the tips of his or her
hands.
3. The fetal back is firm and smooth, hard
resistant surface.
4. Fetal extremities feel like small
irregularities and protrusions.
THIRD MANEUVER
1. The maneuver attempts to determine the
location of the fetal back.
2. Facing the woman, the health care provider
palpates each side of the abdomen gently but
deep pressure using the tips of his or her
hands.
3. The fetal back is firm and smooth, hard
resistant surface.
4. Fetal extremities feel like small
irregularities and protrusions.
 FOURTH MANEUVER
1. The HCP faces the woman's feet as he or
she attempts to locate the fetus's brow.
2. To determine the degree of flexion of the
fetal head.
3. The fingers of both hands are moved
gently down the sides of the uterus towards
the pubis.
GOOD If brow corresponds to the side that
contains the elbows and knees.

AT T I T U D E

If there are some obstructions upon

examination.
BAD
T Y P E S O F F E TA L
P R E S E N TAT I O N
 CEPHALIC
P R E S E N TAT I O N
FA C E P R E S E N TAT I O N

B R O W P R E S E N TAT I O N
 BREECH
P R E S E N TAT I O N
TYPES OF BREECH
P R E S E N TAT I O N
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