Leopold 1-4 Examination In Pregnant Women

Leopold 1-4 Examination In Pregnant Women

Leopold examination is a technique for examination of pregnant women by using the means of palpation / palpation that is to feel / feel the parts contained in the uterus of pregnant women by using the hands in certain positions, or by using the press to move certain parts to determine certain parts.

Theory based on Christian Gerhard Leopold. This examination should be carried out after 24 weeks of pregnancy, when the fetal part is all palpable. Leopold examination technique its main purpose is to determine the location and position of the fetus in the uterus, bias also aims to determine the gestational age of the mother and estimate / determine the weight of the fetus.

Leopold’s examination will be difficult to do on obese pregnant women who have thick abdominal walls. Examinations can also sometimes make pregnant women uncomfortable because they are not in the wrong position and inadequate and are not ensured in a relaxed state.

To help facilitate this examination, then prepare what is needed before the examination is:

  1. Instruct the client to empty his urinary/bladder vesika
  2. Placing the client in a lying position on his back, place a small pillow just under the head as a measure of comfort.
  3. Maintaining client privacy
  4. Describes the process and procedures of the examination
  5. Warming the client’s hands by rubbing together on both hands (cold hands can stimulate uterine/ uterine contractions)
  6. Use the palm of the hand to grope/palpation instead of with the fingers.

Leopold I

Leopold 1-4 Examination In Pregnant Women
Leopold 1

Purpose: To determine the age of pregnancy and what parts of the body are contained in the fundus uteri.


  • Client’s legs bent on knees as well as thigh folds
  • The examiner stood to the right of the pregnant woman and looked at the client’s face.
  • The uterus is carried into the middle.
  • The height of the fundus uteri is determined, measuring from the hard part of the meeting (symphisis)

Leopold II

Leopold 1-4 Examination In Pregnant Women
Leopold 2

Purpose: To determine where the child’s back is and where the small parts are located.


  • Raba the left and right parts of the uterus if palpable small and long it determines the hands and fingers
  • If palpable the width of the dank eras is usually palpable in the abdomen of the lower left quadrant.

Leopold III

Leopold 1-4 Examination In Pregnant Women
Leopold 3

Purpose: To find out what is on the bottom and bottom has been stretched by a large PAP (Upper Door Pelvic).


  • The right hand holds the bottom.
  • Left hand tries to press fundus
  • At the bottom of the uterus is still can be shaken or not
  • If it has not converged there is no need for Leopold IV


Leopold 1-4 Examination In Pregnant Women
Leopold 4

Purpose: To determine the bottom in the uterus and how much the bottom into the PAP.


  • Converging hands: only a small part of the head that descends the PAP
  • Hands aligned II: half of the head enters the PAP
  • Divergent hands: The largest part of the head goes in the PAP

To listen to the Fetal Heart Rate “DJJ”:

  • Find maximal punctum
  • If you clearly listen to bias with linex / dopler
  • Compare with mother’s pulse.
  • Calculate the heart rate in 1 minute
  • Normal >120-160 x/min
  • When 160 x/min is fetal distress

Leopold examination is very useful for obstetricians or midwives who practice in health facilities without ultrasound (ultrasound) or CTG (cardiototoography). You also do not need to doubt the results of measurements using this manual method because there are already studies that say the accuracy of Leopold’s examination is not much different from ultrasound tools with more expensive costs.

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