The AAO Journal, 2024/06, 34(2):14. doi: 10.53702/i2375-5717-34.2.7, type of study: ,ret,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/7/500955/LBORC-NUFA-Poster-Abstracts-2024-Clinician-amp)

Keywords:

caesarean section [17]
childbirth [59]
female [654]
OMT [3924]
osteopathic manipulative treatment [3945]
pregnancy [174]
retrospective study [339]
women [607]

Abstract:

Introduction: Osteopathic Manipulative Treatment (OMT), has a long history in pregnancy care. Historical literature 1900s supported the use of OMT during pregnancy for management of pain and other labor complications. Little research, however has examined its effects on the incidence of C-sections, especially when OMT is used in different medical settings. Hypothosis: We hypothesized that there would be a lower C-section rate on patients who received longitudinal treatments compared with those receiving a one-time inpatient treatment during labor. Methods and Results: This IRB-exempt retrospective cohort study of patients that were admitted to Morristown Medical Center (MMC) for labor management over 6 years. We included patients that either received OMT inpatient at MMC or in the outpatient clinic at the Morristown Family Medicine practice (MMCFM). We collected demographics and labor outcomes data. We excluded patients with pre-eclampsia with severe features, Eclampsia, Placenta previa, placenta accreta, increta, percreta, and Uterine rupture. For our control, we compared a cohort of women with managed labors over this time period who never received OMT. Conclusions: Review of the preliminary data further supports the benefits of OMT on labor outcomes, specifically reducing rates of C-sections. Although not achieving significance, trends show differences between longitudinal outpatient treatments and one-time inpatient treatment (p=0.32) and provide a basis for other OMT studies in this population. Further analysis will evaluate for differences in gravida status and number of regions treated.