Osteopathic Manipulative Treatment in Prenatal Care

The use of osteopathic manipulative treatment (OMT) during pregnancyhas a long tradition in osteopathic medicine. A retrospectivestudy was designed to compare a group of women who receivedprenatal OMT with a matched group that did not receive prenatalOMT. The medical records of 160 women from four cities who receivedprenatal OMT were reviewed for the occurrence of meconium-stainedamniotic fluid, preterm delivery, use of forceps, and cesareandelivery. The randomly selected records of 161 women who werefrom the same cities, but who did not receive prenatal OMT,were reviewed for the same outcomes.

The results of a logisticregression analysis were statistically reliable, chi2 (4, N= 321) = 26.55; P < .001, indicating that the labor and delivery outcomes, as a set, were associated with whether OMT was administered during pregnancy. According to the Wald criterion, prenatal OMT was significantly associated with meconium-stained amniotic fluid (Z = 13.20, P < .001) and preterm delivery (Z = 9.91; P < .01), while the use of forceps was found to be marginally significant (Z = 3.28; P = .07). The case control study found evidence of improved outcomes in labor and delivery for women who received prenatal OMT, compared with women who did not. A prospective study is proposed as the next step in evaluating the effects of prenatal OMT.

HH King; MA Tettambel; MD Lockwood; KH Johnson; DA Arsenault; R Quist


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