Determining fetal position (Leopold’s maneuvers)
You can determine fetal position, presentation, and attitude by performing Leopold’s maneuvers. Ask the patient to empty her bladder; then assist her to a supine position and expose her abdomen. Perform these four maneuvers in order.
First maneuver
Face the patient and warm your hands. Place your hands on the patient’s abdomen to determine fetal position in the uterine fundus. Curl your fingers around the fundus. When the fetus is in the vertex position (head first), the buttocks should feel irregularly shaped and firm. When the fetus is in the breech position, the head should feel hard, round, and movable.