Coursework - OB-GYN


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Dr. Still regularly worked with obstetric patients, delivering babies and minimizing postpartum hemorrhage.  He also has advice on how to treat a woman going through menopause.  See the obstetrics and menopause chapters in Osteopathy Research and Practice

In more recent works listed below are studies conducted to determine effectiveness of OMT in prenatal care, cranial induction of labor contractions, relief of labor pains with lumbar inhibition, carpal tunnel syndrome and some books with chapters dedicated to Obstetrics, including Foundations of Osteopathic Medicine.

  • Gitlin RS, Wolf DL. Uterine contractions following osteopathic cranial manipulation-a pilot study. JAOA. 1992;92:1183
  • Guthrie RA, Martin RH. Effect of pressure applied to the upper thoracic versus lumbar areas for inhibition of lumbar myalgia during labor. JAOA. 1982;82:247-251
  • King HH, Tettambel MA, Lockwood MD, et al. Osteopathic manipulative treatment in  prenatal care: A retrospective case control design study. JAOA 2003;103:577-582 
  • Kuchera ML, Kuchera WA. The Obstetrical Patient. In Osteopathic Considerations in Systemic Dysfunction. 2nd ed. Columbus, OH: Original Works Books;1994:149-158
  • Nelson KE, Rottman J. The Female Patient. In Nelson KE ed. Somatic Dysfunction in Osteopathic Family Medicine.  Philadelphia, PA: Lippincot Williams & Wilkins;2007:105-126.
  • Sucher BM. Myofascial manipulative release of carpal tunnel syndrome: documentation with magnetic resonance imaging. JAOA. 1993;93:1273-1278 
  • Tettambel MA. Obstetrics. Ward RC, ed. Foundations for Osteopathic Medicine. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003:450-461

    -First Trimester: "morning sickness", evaluate and Tx C2 and T5-T9 for viscerosomatic reflexes- p.454
    -Second Trimester: uterus is expanding into the abdomen.  "Round ligament pain may correspond to anterior counterstain points L3-L5." p.454
    -Third Trimester: vena caval compression, maximal changes in MSK mechanics and structure, constipation (Tx pelvic diaphragm and mid-thorax) and reflux (mid-thorax).  Tx T10-L2 (sympathetics) to ensure normal functioning of adrenal glands, ovaries and uterus
    -Labor: soft tissue to thoracic spine (Guthrie, below), cranial (Gitlin, below), Tx an anterior sacrum to maximize pelvic outlet size   

    -Postpartum: carpal tunnel syndrome and de Quervain's tenosynovitis 

  • Whiting L. Osteopathic prevention of certain complications of labor and the puerperium. JAOA. 1945; 44:495-498.