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Intermediate Technical IVT

ballottement

Pronunciation: bal-OT-ment

Physical examination technique where gentle pressure causes the fetus to move away and then return, indicating adequate amniotic fluid.

Full Definition

Ballottement is a clinical examination technique used to assess fetal mobility and amniotic fluid volume during pregnancy. The examiner applies gentle pressure to the maternal abdomen, causing the fetus to move away from the examining hand and then bounce back when pressure is released. This sign indicates the presence of sufficient amniotic fluid around the fetus. The technique can be performed both externally through the maternal abdomen or internally during vaginal examination. Loss of ballottement may suggest oligohydramnios or a very large fetus with limited space for movement.

Usage

Usage note: French origin term; distinguish from general fetal movement or quickening.

In Context

  • "Ballottement was easily elicited during the 28-week examination, confirming normal amniotic fluid levels." — Prenatal examination notes
  • "The absence of ballottement raised suspicion for oligohydramnios requiring further ultrasound evaluation." — Clinical assessment

Also known as

fetal ballottement rebound phenomenon

Don't confuse with

quickening fetal movement

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