The AAO Journal, 2015/06, 25(1):13-2, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://meridian.allenpress.com/aaoj/)

Keywords:

osteopathic manipulative treatment [3946]
OMT [3925]
hyperemesis [1]
nausea [10]
pregnancy [174]
diaphragm [99]
adjunct therapy [1]
case report [736]

Abstract:

A 27-year-old white female patient with unremarkable medical history who was experiencing her first pregnancy visited an osteopathic manipulative medicine clinic complaining of 8 weeks of progressively worsening severe nausea and vomiting in pregnancy (NVP). An osteopathic structural examination revealed multiple areas of somatic dysfunction, including cervical, thoracic, pelvic, and cranial diaphragms. Osteopathic manipulative treatment (OMT) was performed based on somatic dysfunction, after which the patient reported resolution of nausea and vomiting. Based on the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) index and the patient’s Hyperemesis Impact of Symptoms Score (HISS), the patient reported 50% and 41% decreases of nausea and vomiting, respectively, after the first treatment and 58% and 68% overall decreases, respectively, after the second treatment. This case study suggests that OMT is a valuable treatment for patients with severe NVP.