vendredi 23 novembre 2018

Preparing For Natural Disasters And Leopold Maneuver

By Helen Snyder


The Leopold maneuver serves a number of purposes with the main one being determining the position in which the fetus is in before childbirth. The procedure was named after Christian Gerhard Leopold, who was a German obstetrician who founded the position. This particular medical procedure named after the man, in a nutshell, consists of placing one s hands on the mother s stomach to feel; and in some cases position the baby without the use of surgical equipment. An important technique, a must know, preparing for Natural Disasters.

Once the fetus has reached full term and it s time for it to enjoy its first breath, what is known as a Leopold maneuver is performed in order to determine the fetus exact positioning inside the womb. This is done because babies tend to move a lot in the only home they ve ever known up until this point and doctor s need to make sure that they re in the right place come childbirth.

The fundal grip is used to identify the body parts of the fetus inside the mother. One way to distinguish body parts is by noting that different body parts have different consistencies. For example, the head tends to be harder, rounder and moves independently of the rest of the fetus s body and by using that as a point of departure, other limbs can be identified such as the shoulders that tend to be bonier that other limbs.

In chronological order, these steps are the fundal grip which involves determining the shape, size, mobility as well as the consistency of the fetus inside the mother. The umbilical grip, which requires for fetus s back to being identified and then with deep massages ensure that it s firm and that the extremities that surface appear and feel like small irregularities.

Once all of these precautions are met the examiner can then perform the Leopold maneuver by engaging the patient in what is known as a Fundal grip. This involves the examiner palpating the patient s abdomen with both hands in order to determine the size, shape, and mobility of what s being felt. But this comes with years of experience or a specific specialization in medicine known as obstetrics.

The last step in the Leopold maneuver is what is known as the second pelvic grip. This grip involves locating the brow of the fetus by moving fingers on either side of the hands along the uterus to locate it. One trick obstetrician use is by identifying the side that proves to provide the most amount of resistance for the fingers and thus determine if the fetus is aligned properly.

Lastly, examiners or obstetricians should take care in using warm hands when dealing with mother s to be in order to keep them as comfortable as possible. As well as try and avoid the Patrick s Grip when performing the first pelvic grip.

The last and final step is the secondary pelvic grip. With the examiner situated at the base of the woman s feet, they will attempt to locate the brow of the fetus by moving fingers along both sides of the uterus. When the brow is found, it will make it possible to give birth




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