LEOPOLD'S MANEUVERS - OBGYN Academy
LEOPOLD’S MANEUVERSMaria Giroux, HBSc, MDLast updated January 2019LEOPOLD’S MANEUVERS1
Leopold’s Maneuvers 4 maneuvers described by Leopold in 1894 Used to diagnose fetal presentation Can be used in late pregnancy and during labour between contractions Difficult if obese, polyhydramnios, oranterior placentaCan estimate fetal size Poor correlation if obeseAccuracy of Leopold’s Sensitivity: 88% Specificity: 94% PPV (true ): 74% NPV (true -): 97%LEOPOLD’S MANEUVERS2
LeopoldmaneuversLeopold’s Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved from nellerose-leopolds-maneuvers-determining[Leopold's maneuvers]. (n.d.). Retrieved from https://medicine.academic.ru/138709/Leopold maneuversLEOPOLD’S MANEUVERS
1. Uterine Fundus Used to determine fetal lie and which fetal pole (cephalic orpodalic) occupies fundusPalpate fundus Head: round, more mobile Breech: large, nodular mass[Leopold's maneuvers]. (n.d.). Retrieved fromhttps://medicine.academic.ru/138709/Leopold maneuversLeopold’s Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved D’S MANEUVERS4
2. Fetal Orientation Used to determine position of fetal back Place palms on either side of maternal abdomen, exert gentle deep pressure Back: hard, resistant structure Directed anteriorly, posteriorly, transversely Fetal extremities: numerous small irregular mobile parts[Leopold's maneuvers]. (n.d.). Retrieved fromhttps://medicine.academic.ru/138709/Leopold maneuversLeopold’s Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved D’S MANEUVERS5
3. Fetal Presentation Used to confirm fetal presentation (cephalic vs breech) The thumb and fingers of 1 hand grasp the lower portion of maternalabdomen above pubic symphysis Not engaged- movable mass is felt[Leopold's maneuvers]. (n.d.). Retrieved fromhttps://medicine.academic.ru/138709/Leopold maneuversLeopold’s Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved D’S MANEUVERS6
4. Degree of Descent Used to determine the degree of descent Face pt’s feet, position fingertips of both hands on either side of thepresenting part à exert inwards pressure, slide caudad along the axis ofpelvic inlet When the head has descended, can feet anterior shoulder or thespace created by the neck from the head[Leopold's maneuvers]. (n.d.). Retrieved fromhttps://medicine.academic.ru/138709/Leopold maneuversLeopold’s Maneuvers: Determining Fetal Position in the Uterus [Digital image]. (n.d.). Retrieved D’S MANEUVERS7
ReferencesCunningham, F., Leveno, K., Bloom, S., Spong, C., Dashe, J., Hoffman, B.,& Casey, B. (2018). William's obstetrics (25th ed.). New York: McGrawHill Education.LEOPOLD’S MANEUVERS8
LEOPOLD'SMANEUVERS 5 2. Fetal Orientation Used to determine position of fetal back Place palms on either side of maternal abdomen, exert gentle deep pressure Back: hard, resistant structure Directed anteriorly, posteriorly, transversely Fetal extremities: numerous small irregular mobile parts Leopold's Maneuvers: Determining Fetal Position in the Uterus [Digital image].
767 Flight Crew Operations Manual Maneuvers - Non-Normal Maneuvers. 767 Flight Crew Operations Manual Maneuvers - 767 Flight Crew Operations Manual-/ .
OBGYN Provider and Office RN/MA Epic Ambulatory OBGYN Provider Enhancements Say Goodbye to the Workspace Header and Hello to Storyboard Prenatal Storyboard for OB Patients Gynecology Storyboard Shows Number of Cervical Cancer Screenings Documenting the Patient's Social Determinants of Health
Sonata L. 238 Domenico Scarlatti 1685-1757 43 Sonata L. 483 Domenico Scarlatti 44 Menuett Johann Kreiger 1651-1735 46 Tombeau sur la mort de M. Comte de Logy Sylvius Leopold Weiss 1686-1750 47 Passacaille Sylvius Leopold Weiss 49 Fantasia Sylvius Leopold Weiss 53 Minuet Robert de Visée c. 1650-c. 1725 55 Passacaille Robert de Visée 55
VENUS IN FURS Of this book, intended for private circulation, only 1225 copies have been printed, and type afterward distributed. VENUS IN FURS By LEOPOLD VON SACHER-MASOCH page 1 / 237. Translated from the German By FERNANDA SAVAGE INTRODUCTION Leopold von Sacher-Masoch was born in Lemberg, Austrian Galicia, on
“Let me start right off with Stein’s Piano forte,” Wolfgang wrote to his father Leopold from Augsburg (Leopold’s birthplace) on October 17, 1777 en route to Paris. In fact, Leopold had purchased a piano from Stein as early as 1762 (altogether Stein was to supply 700 instruments to musicians all over Europe).
Chapter 9. 9-2 Figure 9-1. Steep turns. WIND Performance maneuvers also allow for an effective assessment of a pilot’s ability to apply the fundamentals; weakness in executing performance maneuvers is likely due to a pilot’s lack of understanding or a deficiency of fund
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care as a way to improve hospital quality and safety. As one indicator of this, the Centers for Medicare and Medicaid Services implemented new guidelines in 2012 that reduce payment to hospitals exceeding their expected readmission rates. To improve quality and reduce preventable readmissions, [insert hospital name] will use the Agency for Healthcare Research and Quality’s Care Transitions .
