Operational Obstetrics & Gynecology

Labor and Delivery




Electronic Fetal Monitors

Latent Phase Labor

Fetal Heart Rate

Pain Relief

Active Phase Labor


Second Stage Labor

Progress of Labor

Estimated Fetal Weight

Preparing for Delivery

Delivery of the Baby

Dilatation and Effacement

Managing the Delivery

Delivery of the Placenta

Fetal Orientation


Managing Labor and Delivery

Leopold's Maneuvers


Initial Evaluation

Fetal Membranes

Clamp the Cord


Blood Count

The Placenta

Risk Factors

Early Labor

Uterine Massage

Vital Signs

Monitor the Fetal Heart

Post Partum Care

Leopold's Maneuvers

Leopolds' maneuvers are used to determine the orientation of the fetus through abdominal palpation.

  1. Using two hands and compressing the maternal abdomen, a sense of fetal direction is obtained (vertical or transverse).

  2. The sides of the uterus are palpated to determine the position of the fetal back and small parts.

  3. The presenting part (head or butt) is palpated above the symphysis and degree of engagement determined

  4. The fetal occipital prominence is determined.

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Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C

Operational Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
January 1, 2000

This web version of Operational Obstetrics & Gynecology is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. All material in this version is unclassified.

This formatting 2006 Medical Education Division, Brookside Associates, Ltd.
All rights reserved


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