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The effect of early osteopathic manual treatment (OMT) care, after vaginal delivery, on pelvic health recovery

Journal: Journal of Complementary and Integrative Medicine Date: 2018/12, 15(4):Pages: eA25. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2018-2000/html)

Keywords:

case report [693]
childbirth [49]
female [565]
OMT [3661]
osteopathic manipulative treatment [3683]
pelvis [51]
postnatal care [3]
women [520]

Abstract:

Background: Vaginal birth is known to affect the pelvic floor and pelvis of delivering women. At this time, post birth, women mainly receive medical care focusing on suturing the perineal tears and preventing hemorrhage. It is common for women to also experience perineal swelling, pain and pressure which impair their walking ability and can be a sign of pelvic organ prolapse. In this case study, the woman was 2-week post vaginal birth with a 3rd degree perineal tear. She experienced pressure to the perineum limiting her walking. Objectives: Assess the effect of osteopathic manual treatment (OMT) treatments on symptoms of perineal pressure and impaired walking. Methods: The patient received 3 OMT treatments over a four week-period. Treatments included visceral techniques to the uterus and its connections to iliacs and sacrum; muscle energy for the iliacs and sacrum; home exercises for the pelvic floor and pelvis; education on the use of support belt when walking and what activities to avoid. Progress was measured using patient’s subjective report of pelvic pressure on a scale of 10, walking duration/distance tolerated prior to experiencing pressure. Results: Pelvic pressure was initially 8-9/10. Following first session, it decreased to 4/10, and increased back to 7/10 after 24 hrs. On her third visit, it was 3-4/10. Walking improved from feeling pressure around her house to walking for 1 hour, on flat trails, with 1-2 sitting pauses. Conclusion: The results encourage us to further investigate post-natal OMT care for the treatment of pelvic pressure and its impact on walking ability post-natal. OMT is non-invasive and may be a valuable treatment option to help women recover post birth, resume walking which impacts their ability to care for their babies.


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