Leopold’s Maneuver Procedure
1. Wash hands
2. Explain the procedure to the patient
3. Let the patient empty her bladder deviate before
the procedure. Position the patient on supine with one Flexed knees relieve tension of abdominal
pillow under her head and with knees slightly flexed.
4. If right-handed, stand at woman’s right facing the
patient
5. First Maneuver: Face the patient and palpate the
uterine fundus to determine what part of the fetus lies
in the upper part of the fundus.
6. Second Maneuver: Palpate in a downward
direction on the sides of the abdomen applying gentle
but deep pressure to determine the position of the
fetal extremities, fetal back and anterior shoulders.
7. Third Maneuver: Place one hand over the
diaphysis pubis and grasp the lower uterine segment
between the thumb and fingers to feel the presenting
part.
8. Fourth Maneuver: Turn and face the woman’s feet
to confirm the findings of the third maneuver and
determine the flexion of the fetus’ head into the
pelvis.
9. Locate again the back of the fetus and place the
stethoscope over it and listen to the fetal heart tone
for one full minute.
10. Make the patient comfortable
11. Wash hands.
12. Document the observation made; fetal findings,
presentation, position, attitude and whether engaged
or floating.
To detect the spread of microorganisms
To gain cooperation
To facilitate accurate assessment providing comfort.
musculature
For better accessibility of the healthcare provider
Head feels hard and round, freely movable and
ballotable; breech feels large, nodular, and softer
On the side of fetal back, a long continous structure
will be felt; side of extremities will feel nodular.
If engagement has occurred, fetal part feels fixed in
the pelvis. The head is at inlet or in pelvis, if
presenting part is still movable, it is not engaged.
The cephalic prominence is felt on side where there is
greater resistance to the descent of the vertex.
Normal FHT is 120 160 beats per minute and to
monitor and evaluate the condition of the fetus
To provide comfort to the client.
To prevent the spread of infection
To have baseline data for future use.