14: Osteopathic Obstetrics

Question 1

scoliosis in pregnancy

Answer 1

doesnt change but may develop more pain

Question 2

RA in pregnancy

Answer 2

improves

Question 3

ankylosing spondylitis in pregnancy

Answer 3

aggravated due to increased stress on SI joints

Question 4

sx in pregnancy that are red flags and require further evaluation

Answer 4

severe pain that interferes with function increased pain with cough/sneeze/valsalva, neuro sx

Question 5

two relative contraindications of OMM during pregnancy

Answer 5

1. PROM

2. preterm labor (before 37 weeks)

Question 6

7 absolute contraindications to OMM during pregnancy

Answer 6

1. undx vaginal bleeding
2. prolapsed umbilical cord
3. placental abrutpion
4. ectopic pregnancy
5. placenta previa
6. threatened / in complete abortion
7. severe pre-eclampsia or eclampsia

Question 7

LBP and mom’s exercise habits

Answer 7

already having an established exercise routine will decrease likelihood of LBP

Question 8

a lymphatic tx not to do on pregnant women

Answer 8

pedal pump

Question 9

good treatment to decrease sympathetic tone in preg woman

Answer 9

seated rib raising

Question 10

rupture of the pubic symphysis during labor

Answer 10

possible audible crack, can palpate a gap, greater than 1cm wtih local edema -> acute pan radiating to back and thghs

Question 11

what can cause rupture of pubic symphysis in labor?

Answer 11

macrosomia, precipitous labor, intense contractions, previous pelvic trauma, forceps used

Question 12

ACOG recommendation on exercise during pregnancy

Answer 12

30+ min daily for most/all days of the week

Question 13

absolute contraindciations for aerobic exercise during pregnancy

Answer 13

incompetent cervix, multiple gestation, IUGR, persistent 2nd/3rd trimester bleeding, placenta previa >28 weeks, PROM, pre-eclampsia