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Re: Checking cervices at termFrom: ainsron (ainsron@sbcglobal.net)Wed Mar 1 07:32:06 2006
Leopold maneuvers describes the movements used for manual palpation of the abdomen to determine fetal presentation. Leopold's Maneuvers First Maneuver (Upper pole) Examiner faces woman's head Palpate uterine fundus Determine what fetal part is at uterine fundus Second Maneuver (Sides of maternal abdomen) Examiner faces woman's head Palpate with one hand on each side of abdomen Palpate fetus between two hands Assess which side is spine and which extremities Third Maneuver (Lower pole) Examiner faces woman's feet Palpate just above symphysis pubis Palpate fetal presenting part between two hands Assess for Fetal Descent Fourth Maneuver (Presenting part evaluation) Examiner faces woman's head Apply downward pressure on uterine fundus Hold presenting part between index finger and thumb Assess for cephalic versus Breech Presentation It gives a name to what you are trained to do and intuitively do every time you examine an OB patient. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Raymond Stephen Sent: Tuesday, February 28, 2006 7:24 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Checking cervices at term
on 2/27/06 8:27 PM Garry E. Siegel, M.D. said the following:
> I check because: > 2. Nice to know that they're vertex, although this And el replied: Nonsense, Ultrasound does exist. And the vertex of Wednesday last week in the G4P3 turned out to be a breech today. And both of you have just given me heartburn, because I was taught to palpate the presenting part abdominally - which is a whole lot easier. Steve Besides, what's "Leopold's"?
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