King Hollis H, Tettambel Melicien A, Lockwood Michael D, Johnson Kenneth H, Arsenault Debra A, Quist Ryan
Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Pomona, Calif, USA.
J Am Osteopath Assoc. 2003 Dec;103(12):577-82.
The use of osteopathic manipulative treatment (OMT) during pregnancy has a long tradition in osteopathic medicine. A retrospective study was designed to compare a group of women who received prenatal OMT with a matched group that did not receive prenatal OMT. The medical records of 160 women from four cities who received prenatal OMT were reviewed for the occurrence of meconium-stained amniotic fluid, preterm delivery, use of forceps, and cesarean delivery. The randomly selected records of 161 women who were from the same cities, but who did not receive prenatal OMT, were reviewed for the same outcomes. The results of a logistic regression analysis were statistically reliable, chi2 (4, N = 321) = 26.55; P < .001, indicating that the labor and delivery outcomes, as a set, were associated with whether OMT was administered during pregnancy. According to the Wald criterion, prenatal OMT was significantly associated with meconium-stained amniotic fluid (Z = 13.20, P < .001) and preterm delivery (Z = 9.91; P < .01), while the use of forceps was found to be marginally significant (Z = 3.28; P = .07). The case control study found evidence of improved outcomes in labor and delivery for women who received prenatal OMT, compared with women who did not. A prospective study is proposed as the next step in evaluating the effects of prenatal OMT.
在整骨疗法医学中，孕期使用整骨手法治疗（OMT）有着悠久的传统。一项回顾性研究旨在比较一组接受产前OMT的女性与一组未接受产前OMT的匹配女性。对来自四个城市的160名接受产前OMT的女性的病历进行了审查，以了解羊水胎粪污染、早产、产钳使用和剖宫产的发生情况。对来自同一城市但未接受产前OMT的161名女性的随机选择病历进行了相同结果的审查。逻辑回归分析结果在统计学上具有可靠性，卡方（4，N = 321）= 26.55；P <.001，表明分娩结局作为一个整体与孕期是否进行OMT有关。根据 Wald 标准，产前OMT与羊水胎粪污染（Z = 13.20，P <.001）和早产（Z = 9.91；P <.01）显著相关，而产钳使用被发现具有边缘显著性（Z = 3.28；P =.07）。病例对照研究发现，与未接受产前OMT的女性相比，接受产前OMT的女性在分娩时的结局有所改善。作为评估产前OMT效果的下一步，建议进行一项前瞻性研究。
