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Osteopathic treatment during pregnancy reduces risk of birth interventions: The role of optimal foetal positioning

Journal: International Journal of Gynecology and Obstetrics Date: 2012/10, 119Pages: S381. doi: Subito , type of study: retrospective study

Full text    (https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1016/S0020-7292%2812%2960772-3)

Keywords:

gynecology [11]
labor pain [1]
mother [8]
obstetrics [14]
pregnancy [142]
pregnancy outcome [4]
retrospective study [213]

Abstract:

Objectives: Levels of birth interventions are increasing in the UK with a negative impact upon maternal and infant outcomes. Suboptimal foetal positioning during labour can increase risk of intervention increasing length of labour, pain experienced and need for assisted delivery. Osteopathic treatment during pregnancy can significantly reduce pain and mobility issues. Anecdotal evidence also suggests that treatment may promote optimal maternal biomechanics and posture, enabling the infant to adopt a more favourable position for birth, increasing the likelihood of normal delivery. Empirical support for this argument is however sparse. The aim of the current study was to explore the association between osteopathic treatment during pregnancy and birth outcomes. Materials: As no empirical research had explored this relationship a retrospective self report questionnaire was used. Methods: 510 mothers with an infant aged 0-6 months provided data regarding birth mode, duration, position of infant during labour and pain experienced alongside use of osteopathic treatment. Maternal age, education, parity and pain during pregnancy were controlled for. Results: Mothers who used osteopathic treatment (n = 106) reported significantly improved birth outcomes including shorter duration of labour, decreased pain and reduced incidence of interventions compared to those who did not receive treatment (n = 404). A regression analysis highlighted the importance of foetal position at the start of labour as a potential explanation for these improved outcomes. Conclusions: Osteopathic treatment may be associated with improved birth outcomes, potentially through enabling the infant to adopt an optimal position for birth. A prospective randomised controlled trial is needed to explore this relationship further due to recognised design limitations.


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