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it’s rt of long axis of fetus to long axis of
centralized uterus or maternal spine .
It’s of three types-
1.Longitudinal (commonest-99.5%)
2.Oblique lie .
3.Transverse.
BY-R.G
 It’s rt of different parts of fetus to one another is
called attiude of fetus
 Universal attitude is flexion.
 Verities-
1.Deflexed vertex
2.Brow
3.face presentation
4.Legs extended in breech
10
Presentation
 Vertex
 Face
 Breech
 Shoulder
Denominating point
 Occiput
 Mentum
 Sacrum
 Acromium
OP-1% OA-2%
 ROA-10% LOA-13%
 ROT-24% LOT-40%
 ROP-7% LOP-3%
13%
40% 3%
10% 24%
7%
 Abdominal examination
• 1.Inspection-
• 2.Palpation-
 Obst. grip- A. Fundal grip
B. Lateral or umbilical grip
C. First pelvic grip
D. Pawlik’s grip
 3.Auscultation-
 4.Internal examination-
16
First Leopold Second Leopold
Third Leopold Fourth Leopold
 BY-R.G BY-R.G
Yes intelligent student’s - ?
19
Questions & answer
Fetus in utero

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Fetus in utero