Sharma J B
Department of Gynaecology and Obstetrics, All India Institute of Medical Sciences, New Delhi 110029, India.
Arch Gynecol Obstet. 2009 Apr;279(4):481-7. doi: 10.1007/s00404-008-0745-x. Epub 2008 Aug 5.
To evaluate new maneuvers developed by the author for fetal palpation in late pregnancy and comparing them with traditional Leopold's maneuvers.
A total of 224 women with term pregnancy who underwent abdominal palpation by Sharma's modified Leopold's maneuvers developed by author using fingers, hands and forehand for better palpation were evaluated and compared with Leopold's Maneuver.
The mean age was 24.5 years, mean parity 2.2, mean gestation 38.2 weeks. Sharma's modified Leopold's pelvic maneuver could correctly diagnose occipito-anterior position in 95.0% cases as compared to 84.4% by Leopold's maneuvers (P=0.04), while it could correctly diagnose occipito-posterior position in 96.3% cases as compared to 66.6% by Leopold's maneuvers (P=0.0012). In breech presentation also Sharma's modified Leopold's fundal maneuver could correctly diagnose presentation in all cases as compared to 92.9% by Leopold's maneuvers. While in a transverse and oblique lie, Sharma's right and left lateral maneuvers could correctly diagnose presentation as well as position of acromion in all cases (100%).
The new maneuvers for fetal palpation appear to be very simple and accurate method for making out fetal presentation and position in late pregnancy.
评估作者开发的晚期妊娠胎儿触诊新手法，并将其与传统的利奥波德手法进行比较。
共有224名足月妊娠妇女接受了触诊评估，作者使用手指、手和前臂对夏尔马改良的利奥波德手法进行了改进，以更好地触诊，并与利奥波德手法进行比较。
平均年龄为24.5岁，平均产次为2.2，平均孕周为38.2周。夏尔马改良的利奥波德骨盆手法在95.0%的病例中能正确诊断枕前位，而利奥波德手法为84.4%（P = 0.04）；在96.3%的病例中能正确诊断枕后位，而利奥波德手法为66.6%（P = 0.0012）。在臀先露时，夏尔马改良的利奥波德宫底手法在所有病例中都能正确诊断先露情况，而利奥波德手法为92.9%。在横位和斜位时，夏尔马的左右侧手法在所有病例中（100%）都能正确诊断先露情况以及肩峰的位置。
新的胎儿触诊手法似乎是一种非常简单且准确的方法，可用于判断晚期妊娠胎儿的先露情况和位置。
