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Leopold's maneuvers. In obstetrics, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus. They are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight. [1] The maneuvers consist of four distinct actions, each helping to determine the ...
Inspection of the abdomen may already give a clue as it is wide from side to side. Usually performing the Leopold's maneuvers will demonstrate the transverse lie of the fetus. [2] Ultrasound examination delivers the diagnosis and may indicate possible causes such as multiple gestation or a tumor.
In obstetrics, a cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). [1]
Leopold's maneuvers may find the fetus in an oblique or breech position or lying transverse as a result of the abnormal position of the placenta. Malpresentation is found in about 35% cases. [ 20 ] Vaginal examination is avoided in known cases of placenta previa.
The position on the baby's head is checked. The fetal head is then rotated to the occiput anterior position if it is not already in that position. An episiotomy may be performed if necessary. The baby is then delivered with gentle (maximum 30 lb f or 130 Newton [7]) traction in the axis of the pelvis. [8] [page needed]
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery.
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Christian Gerhard Leopold (24 February 1846 – 12 September 1911) was a German gynecologist born in Meerane, Saxony. In 1870 he earned his medical doctorate from the University of Leipzig , where he studied under Carl Siegmund Franz Credé (1819-1892), who would later become his father-in-law.