Leopold Maneuver

(A) The uterine fundus is palpated to determine which fetal part occupies the fundus. (B) Each side of the maternal abdomen is palpated to determine which side is fetal spine and which is the extremities. (C) The area above the symphysis pubis is palpated to locate the fetal presenting part and thus determine how far the fetus has descended and whether the fetus is engaged. (D) One hand applies pressure on the fundus while the index finger and thumb of the other hand palpate the presenting part to confirm presentation and engagement.