Noorullah Abdul Wali
Group 533
You have to describe Leopolds maneuvers results.
Answer- Leopold maneuver - result
Firstly its done per abdominally. Patients should be lying in dorsal position with
knee flexed .
There are 4 leopold maneuver :1st Leopold maneuver - called as fundal grip ,tells about lie and presentation
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Lie - feeling of any part of fetus - longitudinal lie
Presentation - firm , broad and irregular parts felt that means its buttocks
shows cephalic presentation
2nd maneuver:- lateral grip , tells about position of fetus
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Broad, smooth , regular and curved structures felt its the back of the
fetus
And the back is in the left side
3rd maneuver:- pawlik grip
Done with one hand , tells about presentation
Hard , round globular structure felt its cephalic presentation and the head can't
move side to side thats indicate engaged in the pelvis or entered the pelvis
4th maneuver:- deep pelvic grip
Its confirms the findings of 3rd maneuver
Keep hands parallel to inguinal ligament :- hands are diverging below the head
of the baby beacause head entered the pelvis
Tells about attitude of fetus :- occiput is felt at higher level it indicates extended
head .
2. Diagnosis: Labor (Pregnancy), Lie, presentation, position, variety.
Answer :- active stage of labor
Lie - longitudinal
Presentation - cephalic
Position - left occipito posterior
3. Determination of the probable day of delivery (at least three methods)
Answer :- Naegele's rule:
(1st day of LMP+1year-3month+7days)
Estimated delivery date-16.08.2021
4. Determination of the probable fetal weight (2 methods)
Answer :- fetal weight = abdominal circumstance × uternal fundal height
= 36× 100 = 3500 = 3.6 kg
johns formula :- (uterine fundal height -n )× 155
( 36- 12 )155 = 3565 = 3.6 kg
Ultrasound biometry :- by calculating of fetal biparietal , head circumference,
femur length, abdominal circumstances
5. Calculation of physiological blood loss.
Answer :- physiology blood loss = 0.5 % of weight
= 0.5 × = 430 g