{"id":1716,"date":"2010-12-13T09:41:04","date_gmt":"2010-12-13T09:41:04","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/determining-the-engagement\/"},"modified":"2023-08-22T15:48:29","modified_gmt":"2023-08-22T14:48:29","slug":"determining-the-engagement","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/obstetrics\/subsequent-check-ups\/determining-the-engagement\/","title":{"rendered":"Determining The Engagement"},"content":{"rendered":"<h3>Procedure<\/h3>\n<ul>\n<li>Try to push both hands between the <span style=\"text-decoration: underline;\">presenting part<\/span> and the <span style=\"text-decoration: underline;\">pubic bone<\/span>. To achieve this, ask the woman to breathe in and out with an open mouth and during expiration, gradually push your hands downwards. This way, you can determine the relationship of the foremost part with respect to the pelvis (<em>fourth Leopold\u2019s manoeuvre<\/em> <strong><em>[Figure 20]<\/em><\/strong>).<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/124023535?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\"><\/iframe><\/p>\n<p><strong><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1715\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Obstetrics_ob-fig-20.jpg\" alt=\"\" width=\"400\" height=\"295\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Obstetrics_ob-fig-20.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Obstetrics_ob-fig-20-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 20<\/span><\/span><\/strong><\/p>\n<ul>\n<li>Note the findings, namely the <em>presentation<\/em>, <em>location of the back<\/em>, <em>relationship of the presenting part<\/em> with respect to the pelvis, e.g.:\n<ul>\n<li>Head mobile above pelvic brim.<\/li>\n<li>Head mobile in pelvic brim.<\/li>\n<li>Head fixed in pelvic brim.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Procedure Try to push both hands between the presenting part and the pubic bone. To achieve this, ask the woman to breathe in and out with an open mouth and during expiration, gradually push your hands downwards. This way, you can determine the relationship of the foremost part with respect to the pelvis (fourth Leopold\u2019s [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[57],"tags":[138],"class_list":["post-1716","post","type-post","status-publish","format-standard","hentry","category-subsequent-check-ups","tag-obstetrics"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Determining The Engagement - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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