This is the procedure of choice in
examining a pregnant woman.
1st manouver: This is fundal palpation
2nd manouver: This is lateral palpation of
the flanks of the abdomen to determine lie and presentation.
3rd manouver: This is the Pawlick's grip.
The right hand is used to grip the pole of the vertex presenting head or
other presenting parts. It can be used to determine engagement or fixation
of head and also attitude.
- 4th manouver is performed from the top of the bed to determine
engagement, fixation better.
It is only after Leopold's manouver that
you should auscultate for fetal heart sounds.
School of Medicine
Creator: Oluwole Ogunranti
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