Obstetrical grip as method to determine position presentation & engagement (doctor right side) (Moths dorsal recumbent position)
(1) Fundal Grip (First Leopold):- (Fetal pole in fundus)
⦁ Ask the mother to empty the bladder
⦁ Warm hands & apply them to the mothers abdomen with firm & gentle pressure
⦁ First Leopold or Moreover determine which part of the fetus in the fundus.
⦁ Place palm on each side of the upper abdomen & palpate around the fundus
⦁ Feeling a hand, sounded movable object- head
⦁ Feeling a soft irregular shape-Buttocks
(2) Lateral or Umbilical Grip (Second Leopold) :- (Getal lic)
⦁ Move hands down wards over each side of the abdomen applying firm pressure.
⦁ Feeling of smooth, cured & hard surface = back
⦁ Irregular knob & lumps = Hands, Feet, elbows, knee
(3) First Pelvic Grip (Fourth Leopold) :-
⦁ Done in the late stage of pregnancy to determine how for the fetus has descended in to the pelvic inlet
⦁ Place hands on the sides of the lower abdomen cloze to the midline
⦁ Slide ands down ward & in ward
⦁ If you have determined that the buttocks are in the fundus than for the head.
⦁ If you can not feel the head it probably has descended
⦁ Engagement is confirmed
(4) Second Pelvic Grip/Pawlik Grip/Third Leopol :- (First time use single hand is these)
⦁ If confirms fetal position
⦁ Place hand above symphysis pubis
⦁ Bring thumb & fingers together & greasy the part of fetus between them (Mrg be the head or buttocks)
⦁ First time use of single hand is there
⦁ Fetal descant and position is confirmed buy this grip
S.Point:-
LM-1 – Identify which fetal pole occupies the fundus
LM-2 – Performed to determine the fetal lie
LM-3 – Determined if the presenting part is engaged.
LM-4 – Readily differentiates the anterior shoulder. (How far fetus)
Either way the teacher or student will get the solution to the problem within 24 hours.