Ballottement

The patient lies flat (supine) with the leg fully extended and relaxed.

The clinician inserts two fingers into the vagina and gives a sharp upward tap against the lower segment of the uterus. If the fetus is present and not yet engaged in the pelvis, it will float upward and then fall back, tapping against the clinician’s fingers. ballottement

(from the French ballotter , meaning "to toss about") is a medical physical examination technique used to detect floating objects within a fluid-filled cavity. It is most commonly applied in orthopedics to check for knee swelling, in obstetrics to assess pregnancy, and in general medicine to evaluate abdominal organs. 1. Patellar Ballottement (Knee Effusion Test) The patient lies flat (supine) with the leg