Published Dec 27, 2003
hi all. new grad here. i will start l&d at a small community hospital in nyc early january.
question: do leopold's maneuvers still apply?
Yes.... you should always do leopolds to try to locate the fetal back for fetal heart tones as well as trying to confirm vertex position.
as above stated...also I find it a means to "lay hands" on a woman, establishing a warm touch/more personal relationship with her. The monitors are great but do remove that human touch. Many new grads and residents will run right to a monitor, pulling up the strip to assess maternal/fetal wellbeing. This is a mistake. Always remember there is a LIVE human being attached to that monitor and treat her as such. She has a lot of information to impart if you ask the right questions and make astute observations.
And Leopold's manuevers, just are a part of this whole-person assessment. Develop a skill for this by practicing and learn it well. It CAN help you determine a lot of things and like the poster before me said and also help establish a warmer relationship with a mom-to-be---especially if you provide her with the information you find. It just makes it all much more personal. technology is a wonderful thing but NEVER takes the place of this touch and YOUR assessment skills. Pay attention to EVERYthing in the labor/deliver environment.
Good luck to you!
thank you all. i loved the interaction in my ob clinicals. i guess i am apprehensive about assessing fetal descent. practice, practice....
i'm relieved to know that their are nurses out there who do not always depend on the machine.
yes practice practice practice...we all needed it....
even the most experienced of us.
As with the above posters. I use Leopold's to locate fetal back and as a reason to "lay hands" on my patient. While I am locating fetal postion I am talking to the patient. I can assess abdominal tenderness as well as contractions and ascertain fetal movement. Sometimes just taking those few minutes to touch, talk to and listen to the patient goes a long way to establishing the tone of the whole labor.
Yep I do leopolds on all my OBs too for the same reasons.
I try to do one before I do a cervical check or at least palpate a ctx. I feel that this lets the pt gets used to me touching her.
Create well-written care plans that meets your patient's health goals.
This study guide will help you focus your time on what's most important.
Choosing a specialty can be a daunting task and we made it easier.
By using the site, you agree with our Policies. X