Concurrent validity of Leopold's maneuvers in determining fetal presentation and position |
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| Authors: | B L McFarlin J L Engstrom M B Sampson F Cattledge |
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| Affiliation: | 1. Chemical Engineering Department, Universitat Politècnica de Catalunya. Escola d’Enginyeria de Barcelona Est (EEBE), Av. Eduard Maristany, 10-14, Barcelona 08019, Spain;2. Instituto de Desarrollo Tecnológico para la Industria Química (INTEC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) and Universidad Nacional del Litoral (UNL), Güemes 3450, Santa Fe 3000, Argentina;1. Department of Medicine, University of Alberta, Edmonton, AB;2. Faculty of Medicine, University of Calgary, Calgary, AB;1. Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, Florida;2. Jackson Memorial Hospital, Miami, Florida;3. University of Miami Leonard M. Miller School of Medicine, Miami, Florida;4. Cardiovascular Division, Department of Internal Medicine, University of Miami Miller School of MedicineMiami, Florida;5. Hematology/Oncology Division, Department of Internal Medicine, University of Miami Leonard M. Miller School of Medicine, Miami, Florida |
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| Abstract: | ![]()
The accuracy of Leopold's maneuvers in the assessment of fetal presentation and position was studied in 176 subjects. The maneuvers were performed by clinicians during the routine prenatal examination of women who were scheduled for an ultrasound immediately after their prenatal visit. The actual fetal presentation and position were determined during the sonographic examination. Clinicians were correct in their assessment of fetal presentation and position in 85.23% and 60.31% of determinations, respectively. However, only 53% of all malpresentations were assessed correctly. Clinicians with 1 or less than 5 years of experience had higher percentages of correct assessments than clinicians with 3 to 4 years of experience. Overall, the accuracy of the assessments was higher in late pregnancy. However, the percentage of malpresentations assessed correctly decreased near term. Assessments were less accurate for overweight women. Parity did not influence the accuracy of the assessments. |
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