Maneuvers and Breeches - MT Flashcards
First Maneuver of Leopold’s
Do Ballottement superior stomach vs inferior to check to see if baby has space. apply slight counter pressure of uterine fundus with opposite hand. No space in the upper, then possible round ligament involvement.
Second Maneuver of Leopold’s
After performing 1st on uterine fundus, apply slight counter pressure to the lower uterine segment with your opposite hand feeling for movement of the fetus. Movement is called Ballottement. Again you are feeling for movement of the fetus to determine if the baby still has space.
Third Maneuver of Leopold’s
Palpate the lateral walls of the uterus. Locate spine: usual Normal is on the left because of the liver on the right. Ok to be right though. Spine will be smooth and continuous, extremities will be undulating, bumpy in and out.
Fourth Maneuver of Leopold’s
Locate Cephalic Prominence. To determine if the presenting portion of the head is occiput or sinciput OCCIPUT: palpated on the side opposite the spine. VOA: Vertex Occipital Anterior Head is in FLEXION SINCIPUT: palpated the Same side of the spine. VOP: Vertex Occipital Posterior is in EXTENSION, Facial, Brow, or Sunny Side Up.
Fetal Auscultation
Using a fetal stethoscope will help confirm fetal position. Fetal heartbeat is fast and easy to differentiate from the mothers. A strong fetal heartbeat ABOVE the umbilicus indicates the head is UP: BREECH A Strong fetal heartbeat BELOW the umbilicus indicates the head is DOWN: *|——-> Does not always mean the base is not Breech
Vertex Occiput Anterior
Ideal. Head down chin in flexion. First thing the doctor will see during delivery is the baby’s occiput. Baby’s head position is down, baby’s spine is Anterior
Vertex Occiput Posterior
AKA: FACIAL, BROW, SUNNY SIDE UP Facial: extreme extension Brow: slight extension First thing Doctor Sees is Face/brow AS OCCIPUT *Note: when mom goes from seated to standing the mom feels pain because the baby is pushing on the pubic symphysis
Frank Breech
Most Common Breech Position Head near the top of the uterus and buttocks facing the birthing canal with both hips in flexion and knees in extension.
Complete Breech
Head near the top of the uterus and buttocks facing the birthing canal with legs folded at the knees and crossed. *Indian style Criss Cross apple Sauce……
Incomplete Breech
Presentation has the baby in head up position with one leg in extension and both hips in flexion. Acetabulum might have issues forming. Chiropractic can help.
Transverse Lie
Baby is in horizontal position. * Mandatory C-Section Mom might be short or has very wide hips.
Not Needed Notecard lol but ok to remember Vagina does not plot if you ready the Perineum properly
Not Needed Notecard lol but ok to remember Vagina does not tear if you ready the Perineum properly
Footling Breech
Baby is heads up with one hip in extension and one hip in flexion. * May put mom on bed rest especially if baby is a kicker.
Why during birth is it a big deal if the placenta is coming out first
There’s a chance both the baby and the mom would hemorrhage. Requires mandatory C-Section
Websters Technique FETAL HEAD POSITION IS HEAD UP
Check for leg lag on the mom prone. Adjust the sacrum on the side of leg lag. PL or PR. Left Leg Lag = PL, Right Leg Lag = PR Recheck Leg Lag Hold Abdominal trigger point. Round Ligament on lower quad rent of OPPOSITE leg lag. Repeat Every Other Day. Adjust nothing else that day.Repeat for up to 3 weeks.
