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LEOPOLD'S MANEUVER
systematic abdominal palpations which are done to determine the position and presentation of the fetus.
LM1 (FUNDAL GRIP)
Palpates the upper abdomen to detect what lies in the fundus of uterus.
Buttocks
soft, globular, non-ballotable
Head
hard, round, ballotable
LM2 (Umbilical Grip)
Palpates the sides of the abdomen to detect location of fetal back and fetal small parts.
Back
hard, smooth, resistant plane
Small Parts/Extremities
irregular, nodular with bony prominences
Fetal back
best site for FHT auscultation
LM3 (Pawlick’s Grip)
Palpates the lower abdomen just above the symphysis pubis to detect what occupies the pelvic inlet
LM4 {Pelvic Grip)
Palpates the lower abdomen along the Poupart’s ligaments to detect the degree of flexion, attitude, position and station