Leopold's Maneuver

• Leopold's Maneuver


  Prep: void

  Position: supine with legs flexed
• First Maneuver: Fundal Grip 


  Search for: Presentation

  Part of the fetus is the fundus

  Findings:

  • Head: hard, round, movable
  • Buttocks: soft, irregular, difficult to move
• 2nd Maneuver: Umbilical Grip


  Search for: Fetal back for FHT

  Findings:

  • fetal back: smooth, hard surface
  • front: irregular knobs and lumps - hands, feet, elbows, knees
• 3rd maneuver: Pawlick's Grip


  Search for: Fetal position and engagement

  Findings:

  • Head: Hard and round, easily palpable.
  • Breech: Softer and irregular, often feels like a large mass.
• 4th maneuver: PelvicGrip


  Search for: Fetal engagement and attitute

  Findings:

  • Engaged: Presenting part is firm and low in the pelvis.
  • Not Engaged: Presenting part is still higher in the abdomen.