One of the tests carried out at the Ante Natal Care is the examination of Leopold. This examination consists of four acts, each performed to determine the presentation of the baby in the womb. The following are the movements performed during the examination Leopold:
A. Leopold IKnowing the location of the head and breech presentation.- Facing the patient's head using the fingertips of both hands to mempalpasi fundus.- When the fetal head palpable at the fundus, which will be felt is hard, round and easily moved and "ballotable".- If the fetus is palpable in the buttocks fundus, which will be felt is a soft, irregular, uneven, and hard-driven circular.B. Leopold IIManeuver is to identify the relationship of the fetal body to the front, rear or side of the mother's pelvis.- Facing the patient's head, put both hands on either side of the abdomen, keep the uterus with one hand and palpate the other side to determine the location of the back of the fetus.- The back will be felt clear, flat, convex, rigid / can not be driven. small parts (hands and feet) will be felt small, the shape / position is clear and prominent, and can probably move a passive or active.C. Leopold IIIThis maneuver identifies the fetuses closest to the cervix. Fetal parts this is the first contact with the finger at pemriksaan vagina, is usually the head or buttocks. Step examination:- Place the three fingertips of both hands on either side of the patient's abdomen right between simphisis and ask the patient to inhale and exhale. At the time of patient exhalation, press your fingers down slowly and in surrounding parts of the presentation.D. Leopold IVThis maneuver identifies the largest part of the fetal head is palpable on the side of the pelvis. When the position of head flexion of the head end is the front of the head. When the position of head extension, head is the occiput. Step Pemriksaan:- Facing the patient longlegs. Slowly move your finger into the underside of the abdomen toward the pelvis to the tip of the fingers of one hand touching the last bone. This is the tip of the head. If the tip is located at the opposite with the back, this is the baby's shoulders and head in the flexion position. If the head of the extension position, the tip of the head will be located on the same piece with the back and the occiput to the tip of the head.
A. Leopold IKnowing the location of the head and breech presentation.- Facing the patient's head using the fingertips of both hands to mempalpasi fundus.- When the fetal head palpable at the fundus, which will be felt is hard, round and easily moved and "ballotable".- If the fetus is palpable in the buttocks fundus, which will be felt is a soft, irregular, uneven, and hard-driven circular.B. Leopold IIManeuver is to identify the relationship of the fetal body to the front, rear or side of the mother's pelvis.- Facing the patient's head, put both hands on either side of the abdomen, keep the uterus with one hand and palpate the other side to determine the location of the back of the fetus.- The back will be felt clear, flat, convex, rigid / can not be driven. small parts (hands and feet) will be felt small, the shape / position is clear and prominent, and can probably move a passive or active.C. Leopold IIIThis maneuver identifies the fetuses closest to the cervix. Fetal parts this is the first contact with the finger at pemriksaan vagina, is usually the head or buttocks. Step examination:- Place the three fingertips of both hands on either side of the patient's abdomen right between simphisis and ask the patient to inhale and exhale. At the time of patient exhalation, press your fingers down slowly and in surrounding parts of the presentation.D. Leopold IVThis maneuver identifies the largest part of the fetal head is palpable on the side of the pelvis. When the position of head flexion of the head end is the front of the head. When the position of head extension, head is the occiput. Step Pemriksaan:- Facing the patient longlegs. Slowly move your finger into the underside of the abdomen toward the pelvis to the tip of the fingers of one hand touching the last bone. This is the tip of the head. If the tip is located at the opposite with the back, this is the baby's shoulders and head in the flexion position. If the head of the extension position, the tip of the head will be located on the same piece with the back and the occiput to the tip of the head.
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