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Conducting Four Processes To Confirm Fetal Status

By Nancy Watson


Clinical care is administered to pregnant women to ensure their safety and health. Looking after them entails a long thread of patience since there is a huge responsibility to provide them with proper guidelines and safety precautions. Few of these have to be followed such as Leopold maneuver.

This kind of procedure consists of four maneuvers to identify that the fetus is positioned correctly. This is also to check fetal presentation, lie, and attitude. This detailed examination is strictly followed and performed after twenty four weeks gestation.

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.

As preparation, nurses must ask the pregnant women to empty the bladder first. To relax abdominal muscles, their head must be slightly elevated and knees are flexed a little. A rolled towel is placed under the right hip to make sure that patients are comfortable, and the health professionals are able to conduct accurate movements.

The first process consists of palpating the fundus surface, which is to determine the mobility, shape, and consistency of fetus. This stage also identifies which part of it is in the fundus. It is expected in this portion to feel a softer breech and the hard and round fetal head that moves independently of trunk.

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.

To determine what part of fetal head is lying above the inlet, fingers and thumb should grasp the lower portion of abdomen. This part allows a clinician to feel if the presenting part is engaged or not. Findings during the first action must be validated within this process. Fetal descent must be determined in the last action through pressing fingers in both sides of uterus. Also, the best place to hear the heart tone is also identified in this stage.

These four maneuvers are done in skillful and intricate ways. As patients, they have to ensure that every action is properly executed. Going through the entire procedure needs time and effort that is why it is important to be really careful about who to trust and where to go. They should be able to locate the right health centers and nurses nearby since it can be risky to travel long distances.

These maneuvers are expected to give moms high hopes about the overall condition of their babies. Learning the condition simply states the common aim to expect a smooth delivery. As expectant, they have to be cooperative since the findings may assist them to do what is right and helpful enough. After all, it is for their own good and benefits.




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