The Period Of Gestation And Applicable Procedure Of Maneuvers

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.

Since all maneuvers should be done in a painstaking and skilled manner, examiners like clinicians must be knowledgeable and are certified to do them appropriately. They have to be experienced since this can influence the assessment. Through their experiences, they are more capable to determine and record the fetal presentation.

The fetal outline will be undetermined if there is a distended bladder, so it has to be emptied first. For a more productive palpation, abdominal muscles should be relaxed as well that is why knees have to be flexed slightly. And to guarantee a safe course of maneuvers, the hands of clinician must be washed with warm water to avoid possible infections.

As an initial action, the nurse will stand beside the patient face the mother and palpate the upper abdomen to feel the fetal position. This portion allows the clinician to know what part occupies the fundus. Findings will show the mass which can either be the buttocks or head of the fetus. The first one is soft while the latter is round and firm.

Once there is already an assessment regarding the fetal form, the back position should be determined. Deep yet gentle pressure must be applied on each side of the abdomen. This part must be palpated gently on a circular motion using the right hand. The nurse must feel the smooth and firm fetal back.

The third process involves the proper grip of fetal parts. This stage allows the nurse to confirm its position and its nature. And as for the last action, an examiner should be able to locate the brow of a fetus. It is necessary for the nurse to move their fingers and apply a downward pressure on the fundus of the uterus.

There are necessary factors that pregnant moms must always remember. These have to be the rationales and objectives of the entire maneuvers. Since these should be clearly aimed and carried out appropriately, there is a need to search for the registered healthcare specialist. Seeking recommendation can be the easiest way to get information about potential clinicians. Feedback from friends and colleagues who already have experienced will be a source of help too.

Being pregnant is never easy. It requires perseverance and dedication to follow everything from the right food to eat up to the kind of tests to undergo. These happen to assure the complete state of both the expectant and its baby. Carrying a baby that is in right form is way beyond amazing. It gives a fulfilling feeling to moms who are expecting to see a bouncing little angel during delivery.




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