In the second half of pregnancy, as well as during the birth process, palpation helps to determine the head, back, upper and lower extremities of the fetus during gestation. The closer the moment the labor begins, the clearer it becomes to feel the child. Receptions of Leopold Levitsky are sequentially performed by palpation of the uterus, consisting of specific modes of action.
The first reception of Leopold Levitsky
At the first consultation meeting, with the assistance of the doctor leading the pregnancy, the current standing height of the uterine fundus is fixed. To understand what part of the fetus is in the uterine floor, an idea of what is felt is necessary. The pelvic end will be more rounded, but smaller in volume than the fetal head itself. For this, the gynecologist uses the palms of both hands, positioning them so that they can cover the bottom of the uterus.
Thanks to this height, the obstetrician is able to name the exact gestational age of the woman.
The second reception of Leopold Levitsky
The second technique helps to show the location of the baby in the uterus, its position. In this case, the methods of external obstetric research by Leopold Levitsky may be applicable, involving lowering the hands from the bottom of the uterus from the right and left sides by pressing with the palms and fingers on the side walls of the uterus. It also substantiates the location of the fetal back along its surface, and from a different angle, the presence of arms and legs.
Receptions of Leopold Levitsky make it possible at different times to determine the tone of the uterine region, its physiological process of excitability. There is an opportunity to feel the rounded ligaments of the uterus, their thickness, pain and precise location.
In order to conduct a second dose, palms from the bottom of the uterus are moved to the level of the navel. At the same time, they should be as close as possible to its sides. The fruit is palpated first with one palm, then the other.
After the doctor determines where the back is located, he will be able to say for sure whether the woman has an oblique position or a transverse position .
The third reception of Leopold Levitsky
The main difference between the third method and the others will be the fact of using only one, right palm. Receptions of Leopold Levitsky in this case have the hand slightly higher than the womb, with the thumb to be to the left and the others to the right of the lower part of the uterus. The fingers slowly deepen and gently grasp the underlying part, in particular the head.
If the oblique
position of the fetus is not found
, the head will be palpated in the form of a balloting round and solid part with precise contours. With
pelvic presentation, on the contrary, the pelvis is palpated. In the case of uncertain
presentation of the fetus, the determination does not occur.
The fourth reception of Leopold Levitsky
It will be a continuation of the previous one. Receptions of Leopold Levitsky in this context determine not only the behavioral motive of the preceding part, but also the location of the head towards the inlet of the small pelvis.
In order to conduct the fourth appointment, the obstetrician takes a place next to the pregnant woman, on the right side in the direction from the face to the legs. The palms are placed in the lower segment of the uterus on both sides. Fingers should reach the pubic symphysis. With their help, it is necessary to try to determine the nature of the underlying part with the ratio of the fetus to the opening of the small pelvis.
In the case of the location of the palms simultaneously it will be considered that the head penetrates into a small pelvis in a small area. If the fingers diverge, and the wrist form pulls inward, then the head is mostly located at the entrance to the small pelvis.
4 doses of Leopold Levitsky help any month to listen to the fetal heartbeat. The tone is most easily heard from the location of the child. Receptions of Leopold Levitsky, as well as the definition of the baby’s heart, are recorded at each appearance of the pregnant woman in a antenatal clinic, starting from the second trimester. A stethoscope treated with chloramine can become equipment.
The normal rhythm for a heartbeat will be considered ISO-ISO beats per minute. You can also resort to the use of ultrasound, electrocardiograms, phonocardiography and cardiotocography.