Pemeriksaan Leopold - Video OSCE | HMKU FK Unud

Summary

The transcript outlines a detailed pregnancy examination, where a healthcare provider guides a patient through the process with care and professionalism. The provider employs various Leopold maneuvers to assess the fetus's position, confirming the pregnancy is at the appropriate gestational age of 37 weeks. Throughout the examination, the emphasis is on patient comfort and understanding, with the provider offering reassurance about the pregnancy's normalcy and advising on health maintenance. The conversation fosters a supportive environment, encouraging patients to reach out with any questions or concerns.

Takeaways

• 😀 The script discusses a pregnancy check-up procedure focused on assessing the health and position of the fetus.
• 👩‍⚕️ The examination involves physical palpation of the mother's abdomen to locate the fetus and determine its position.
• 🧑‍⚕️ The doctor explains the process to the mother, ensuring she understands what to expect during the examination.
• 🛏️ The mother is instructed to lie down and may need to undress to allow better access to her abdomen.
• 🔍 The first part of the examination involves feeling the fundus of the uterus to identify parts of the fetus.
• 👶 The healthcare provider distinguishes between different parts of the fetus, like the head and buttocks, based on their shape and firmness.
• 💡 The provider performs a Leopold's maneuver to assess the fetal position and orientation within the uterus.
• 📏 The examination checks if the fetus's head is engaged in the pelvic cavity, which is important for delivery.
• 🍏 The doctor advises the mother on maintaining a healthy lifestyle, including a nutritious diet and regular exercise.
• 📞 The mother is encouraged to reach out for any concerns or questions before her next appointment.

Q & A

What is the primary purpose of the prenatal examination described in the transcript?

The primary purpose is to assess the mother's health and the fetus's development, ensuring there are no abnormalities and confirming the fetus's position relative to the pregnancy stage.

What should the mother do before the examination begins?

The mother is advised to use the restroom to ensure comfort during the examination.

How does the practitioner identify the position of the fetus during the examination?

The practitioner palpates the mother's abdomen to locate the fundus and differentiate between the fetus's head and bottom by examining their shapes and firmness.

What does the practitioner do to assess the fetus's back and limbs?

The practitioner uses both hands to palpate the sides of the mother's abdomen, identifying the back of the fetus and any extremities based on their movement and firmness.

What indicates that the fetus's lower part has entered the pelvic inlet?

If the practitioner is unable to gently move the lower part of the fetus during palpation, it indicates that it has entered the pelvic inlet.

How does the practitioner ensure the mother is comfortable during the examination?

The practitioner reassures the mother, encourages open communication, and ensures she is relaxed and unstrained throughout the examination.

What advice does the practitioner give to the mother at the end of the examination?

The practitioner advises the mother to maintain a healthy diet, exercise regularly, and return for consultation if she experiences any concerns.

What are the main components of the Leopold maneuvers mentioned in the transcript?

The main components include identifying the fetal position through abdominal palpation and determining if the fetal head is engaged in the pelvis.

What reassurance is given regarding the examination process?

The practitioner reassures the mother that there may be slight discomfort, but the examination is important for monitoring the pregnancy's progress.

What does the practitioner conclude about the mother's pregnancy during the examination?

The practitioner concludes that the mother's pregnancy is progressing normally for her 37 weeks gestation and that no issues are present.