Conducting Four Processes To Confirm Fetal Status

By Nancy Watson


During gestation, pregnant moms should undergo various examinations to check the overall state or form of a fetus. The need to assist them is a requirement which surely demands courses of action and correct supervision. It is necessary to follow correct procedures so that their expectations are met and objectives are set. One common process that they go through is the Leopold maneuver.

This method determines the fetal position and engagement inside the womb. It is also used to provide information about the fetal size and its heart rate. It consists of four precise processes that are performed accurately by a healthcare specialist.

Patients may feel anxious about the procedure so there should be explanations to at least reduce the anxiety they have and get the amount of cooperation needed to fulfill the tasks of nurses. These examiners are licensed and experienced enough in executing the four processes so that assessments and findings will be accomplished precisely.

The fetal outline will be undetermined if there is a distended bladder, so it has to be emptied first. For a more productive palpation, abdominal muscles should be relaxed as well that is why knees have to be flexed slightly. And to guarantee a safe course of maneuvers, the hands of clinician must be washed with warm water to avoid possible infections.

The nurse will do the first step which includes the use of both hands to assess the shape, size, and mobility of fetus. They must be certain enough to determine which part is located in the uppermost rounded part of the uterus. The fetal head that must be felt should be firm, round and hard.

To identify its back, the lower abdomen is grasped. Both hands of the clinician are placed flat on the belly exert a pressure. This is where the soft and mobile fetal extremities like knees and elbows are felt. Such findings are confirmed through palpating them in a careful manner.

By grasping the lower portion of exposed belly through the use of thumb and fingers, the mobility and position of the presenting part are identified as well as to ascertain the mobility and position of a fetus. After the three consecutive actions, the fourth process makes assessments on the descent of presenting part where fetal heart rate is clearly monitored likewise.

There are necessary factors that pregnant moms must always remember. These have to be the rationales and objectives of the entire maneuvers. Since these should be clearly aimed and carried out appropriately, there is a need to search for the registered healthcare specialist. Seeking recommendation can be the easiest way to get information about potential clinicians. Feedback from friends and colleagues who already have experienced will be a source of help too.

Gestation is the hardest stage that a woman may experience. Making sure that the position is identified is the most significant procedure in the whole duration of carrying a baby. Nothing can ever fulfill the sense of completeness though once it is born without abnormalities and impairments. This is how important for women to undergo the requirement of following the method of this kind of clinical assessment.




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