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Leopold's Maneuvers are difficult to perform on obese women and women who have hydramnios. The palpation can sometimes be uncomfortable for the woman if care is not taken to ensure she is relaxed and adequately positioned. To aid in this, the health care provider should first ensure that the woman has recently emptied her bladder. If she has not, she may need to have a straight urinary catheter inserted to empy it if she is unable to micturate herself. The woman should lie on her back with her shoulders raised slightly on a pillow and her knees drawn up a little. Her abdomen should be uncovered, and most women appreciate it if the individual performing the maneuver warms their hands prior to palpation. First maneuver: Fundal Grip While facing the woman, palpate the woman's upper abdomen with both hands. A professional can often determine the size, consistency, shape, and mobility of the form that is felt. The fetal head is hard, firm, round, and moves independently of the trunk while the buttocks feel softer, are symmetric, and the shoulders and limbs have small bony processes; unlike the head, they move with the trunk. Second maneuver After the upper abdomen has been palpated and the form that is found is identified, the individual performing the maneuver attempts to determine the location of the fetal back. Still facing the woman, the health care provider palpates the abdomen with gentle but also deep pressure using the palm of the hands. First the right hand remains steady on one side of the abdomen while the left hand explores the right side of the woman's uterus. This is then repeated using the opposite side and hands. The fetal back will feel firm and smooth while fetal extremities (arms, legs, etc.) should feel like small irregularities and protrusions. The fetal back, once determined, should connect with the form found in the upper abdomen and also a mass in the maternal inlet, lower abdomen. Third maneuver: Pawlick's Grip In the third maneuver the health care provider attempts to determine what fetal part is lying above the inlet, or lower abdomen.[2] The individual performing the maneuver first grasps the lower portion of the abdomen just above the symphysis pubis with the thumb and fingers of the right hand. This maneuver should yield the opposite information and validate the findings of the first maneuver. If the woman enters labor, this is the part which will most likely come first in a vaginal birth. If it is the head and is not actively engaged in the birthing process, it may be gently pushed back and forth. The Pawlick's Grip, although still used by some obstetricians, is not recommended as it is more uncomfortable for the woman. Instead, a two-handed approach is favored by placing the fingers of both hands laterally on either side of the presenting part. Fourth maneuver The last maneuver requires that the health care provider face the woman's feet, as he or she will attempt to locate the fetus' brow. The fingers of both hands are moved gently down the sides of the uterus toward the pubis. The side where there is resistance to the descent of the fingers toward the pubis is greatest is where the brow is located. If the head of the fetus is well-flexed, it should be on the opposite side from the fetal back. If the fetal head is extended though, the occiput is instead felt and is located on the same side as the back. Cautions Leopold's maneuvers are intended to be performed by health care professionals, as they have received the training and instruction in how to perform them. That said, as long as care taken not to roughly or excessively disturb the fetus, there is no real reason it cannot be performed at home as an informational exercise. It is important to note that all findings are not truly diagnostic, and as such ultrasound is required to conclusively determine the fetal position.

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Candidiase Tratamento, Remédio Para Unhas Com Fungos, Fungos Na Pele Como Tratar, Candidíase. http://candidiase-cura.plus101.com/ A intensa existência de substâncias químicas prejudiciais e metais tóxicos em nosso ambiente, nos medicamentos que tomamos, nos alimentos que comemos e até mesmo nos recheios dentários, cria um grande desafio para o nosso corpo se livrar efetivamente dessas toxinas resultando em uma ciclo vicioso que se manifesta em uma variedade de sintomas e problemas de saúde, entre eles é o crescimento excessivo de candida albicans que faz com que os sintomas da infecção por fungos aparecem. A acumulação de metais químicos e tóxicos no interior do corpo também pode levar a desequilíbrios hormonais, alterações genéticas, falhas no sistema imunológico, baixa eliminação, processo de cicatrização mais lenta, problemas de pele, alergias e danos no nervo e no cérebro. A presença de metais pesados ??no corpo (led, prata, mercúrio) proveniente de alimentos, o ar que respiramos, remédios e recheios dentários (contém 50% de amálgama), criam um ambiente ácido e anaeróbio (falta oxigênio) que incentiva a candida sobrecrescimento de fermento. Quando há sobrecarga de metal tóxico no intestino, o revestimento intestinal produz muco extra para impedir que os metais sejam absorvidos na corrente sanguínea. O problema é que esse muco cria um ambiente, que não possui oxigênio, incentivando bactérias e fungos, como organismos como o fermento Candida, a ficarem fora de controle. Além disso, a candida se liga a metais pesados ??(mesmo em seus enchimentos de amálgama) e cresce porque o corpo realiza uma tentativa desesperada de se proteger contra o envenenamento por metais pesados. Uma desintoxicação de metal profundo combinada com a remoção gradual do enchimento dentário de amalgama e substituindo-os por enchimentos brancos mais seguros é uma das etapas mais importantes e fundamentais na luta contra a infecção por levedura de Candida e restabelecendo o equilíbrio do corpo. O Único sistema holístico existente que vai lhe ensinar como curar Permanentemente sua Infecção fúngica, reequilibrar o seu corpo e conseguir a liberdade DURADOURA da Infecção do tipo candidíase! http://candidiase-cura.plus101.com/

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