Professional Documents
Culture Documents
LEOPOLDS MANEUVER
Fetal lie relation of the long axis of the fetus to that of the mother Longitudinal Transverse oblique
Presenting part is that portion of the body of the fetus that is either foremost in the birth canal or in closest proximity to it Cephalic presentation Breech presentation Shoulder presentation
Head flexed sharply Chin in contact with thorax Occipital fontanel is the presenting part
Neck sharply extended Occiput and back come in contact Face is presenting
Thighs are flexed and legs extended over anterior surface of the body
Thighs are flexed on the abdomen and the legs upon the thighs
ACROMION
Fetus forms an ovoid mass that corresponds roughly to the shape of the uterine cavity
1 L2 L3
L4
Sacral promontory Ischial spines Pelvic sidewalls Concavity of sacrum Subpubic arch Ischial tuberosity
Monitor Fetal well being progress of labor Oral intake IV fluids Sedation, Analgesia
DESCENT
Pressure of amniotic fluid Direct pressure of the fundus Bearing down Extension and straightening of fetal body
FLEXION
INTERNAL ROTATION
occiput gradually moves from original position anteriorly to s. pubis or posteriorly to hallow of the sacrum
EXTENSION
Brings the base of the occiput in direct contact with inferior margin of s. pubis
EXTERNAL ROTATION
The delivered head undergoes restitution Movement corresponds to rotation of fetal body
EXPULSION
After delivery of the shoulders, the rest of the body is quickly extruded
LATERAL DEFLECTION OF THE HEAD TO A MORE ANTERIOR OR POSTERIOR POSITION IN THE PELVIS Anterior asynclitism Posterior asynclitism Litzmann obliquity
REPAIR HEALING POST-OP PAIN BLOOD LOSS DYSPAREUNIA EXTENTION ANATOMICAL RESULT
TIMING SUTURE TECHNIQUE what structures are cut? ANESTHESIA How to check if done CORRECTLY?
Check Vital signs If uterus contracted or not Urinary bladder Vaginal bleeding