The techniques of Leopold Levitsky in the period of bearing a child

In the second half of pregnancy, as well as in the generic process, palpation helps to determine the head, back, upper and lower limbs of the fetus when bearing. The closer the moment of the onset of labor, the clearer the child's probing becomes. The techniques of Leopold Levitsky are consistently performed by the 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 presenter, the physician determines the effective height of the standing of the uterine fundus. To understand what part of the fetus is in the mother's day, it is necessary to understand what is being probed. The pelvic end will be more rounded, but smaller in volume than the head of the fetus. For this, the gynecologist uses the palms of both hands, placing them so that they can cover the bottom of the uterus.

Due to this height, the obstetrician is able to name the exact duration of a woman's pregnancy.

The second reception of Leopold Levitsky

The second method helps to show the location of the child in the uterus, its position. In this case, the methods of external obstetric research of Leopold Levitsky may be applicable, involving the lowering of the hands from the bottom of the uterus from the right and left sides by pressing the palms and fingers along the side walls of the uterus. Also, the location of the fetal back on its surface is justified, and from the other perspective - the presence of handles and legs.

The techniques 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 round ligament of the uterus, their thickness, painful sensations and exact location.

In order to hold a second reception, the palms from the bottom of the uterus move to the level of the navel. In this case, they should be as close to its sides as possible. The fetus is palpated first with one palm, then the other.

After the doctor determines where the back is located, he will be able to tell exactly, the oblique position of the fetus in the woman or transverse.

The third reception of Leopold Levitsky

The main difference between the third method and the others will be the fact of using only one, the right, palm. The techniques of Leopold Levitsky in this case have an arm slightly above the womb, while the thumb should be to the left, and the other to the right of the lower part of the uterus. The fingers slowly deepen and gently grasp the presenting part, in particular the head.

If no oblique position of the fetus is found, the head will be palpated in the form of a ballot round and a solid part with exact contours. In pelvic presentation, on the contrary, the palp is palpated. In the case of vague fetal presentation, the determination does not occur.

The fourth reception of Leopold Levitsky

It will be a continuation of the previous one. The methods of Leopold Levitsky in this context define not only the behavioral motive of the presenting part, but also the location of the head towards the inlet of the small pelvis.
In order to hold the fourth reception, the midwife takes a place next to the pregnant woman, from the right side in the direction from the face to the legs. Palms are placed in the lower segment of the uterus on both sides. The fingers should reach the pubic symphysis. With their help it is necessary to try to determine the nature of the presenting part with the ratio of the fetus to the opening of the small pelvis.

In the case of the arrangement of the palms, it will be synchronous to assume that the head penetrates into the small pelvis with a small area. If the fingers diverge and the wrist bands make a contraction inside, then the head mostly lies in the entrance to the small pelvis.

4 receptions of Leopold Levitsky help on any month listen to the heartbeat of the fetus. The tone is most easily listened to by the location of the child. The methods of Leopold Levitsky, as well as the definition of the work of the baby's heart, are recorded at every appearance of the pregnant woman in the women's consultation, starting from the second trimester. The equipment can be a stethoscope, treated with chloramine.
A normal rhythm for the heartbeat will be ISO-ISO beats per minute. You can also resort to the use of ultrasound, electrocardiograms, phonocardiography and cardiotocography.