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.


Electronic School of Medicine
Creator: Oluwole Ogunranti


[file:///C:/Documents and Settings/Prof. John Ogunrati/My Documents/]



Lymphatic drainage
Clinical anatomy

Clinical examination


See body map

Main Subject Course Links

Anatomy Anesthesia Biochemistry Chemical pathology Community Health
Dermatology ENT Gynecology Hematology Imaging
Medicine Medical microbiology Obstetrics Ophthalmology Pathology
Pediatrics Pharmacology Physiology Psychiatry    Surgery/Orthopedics
eLab eOSCE eProcedures eInvestigations eSchool
eOrgans eLocator Anatomy Museum eDissector eFractures
All diseases eClerking eTreatment eDoctor ePatient