Articles related toObstetrics/Gynecology

Management of vulvodynia can be exceedingly complex and must be individualized to the patient’s anatomy and etiology; here, the authors present a case of vulvodynia for which osteopathic manipulative treatment was effective.

The authors present a narrative review discussing what is known about the pathophysiology of COVID-19 in pregnancy and its associated mortality rate. Osteopathic manipulative treatment techniques to mitigate the underlying pathology and modifications for use in pregnancy are also presented.

The authors report the results of a descriptive observational study of 24 patients designed to determine whether physiologic and osteopathic measures of increased sympathetic tone correlate in a population of women with PCOS.

In this narrative review article, the author provides an overview of polycystic ovary syndrome, the most common hormone disorder in females of reproductive age, affecting reproductive, metabolic, and cardiovascular health.

The authors compare the differences in progression and regression of precancerous lesions of the uterine cervix on cervical cytologic analysis among women of different races who adhered to cervical cancer screening recommendations and follow-up.

Following a December 2020 petition to withhold emergency use authorization of the BNT162b2 messenger ribonucleic acid vaccine for coronavirus disease 2019 (COVID-19) manufactured by BioNTech and Pfizer, misinformation claiming that COVID-19 vaccines cause female infertility began circulating on social media. The authors evaluated Google Trends data to quantify the potential influence that misinformation may have had on public perception and medical decision-making among pregnant patients or those seeking to become pregnant.

West Virginia (WV) is afflicted by high rates of teenage pregnancy and births, opioid usage during pregnancy, and Neonatal Abstinence Syndrome births. To determine whether there is an association between teenage pregnancy and negative health outcomes, including opioid misuse, among adolescent girls in WV, the authors analyzed aggregate data at the county level from the WV Department of Health and Human Resources (WVDHHR).

Osteopathic manipulative medicine (OMM) has been shown to successfully alleviate some pregnancy-related pain, but most published data focuses on the 3rd trimester and postpartum period or musculoskeletal indications. In this article, the authors report the results from 73 obstetrical providers who practice in multiple types of women’s healthcare facilities in Southern and Central Maine and who were surveyed about their OMM use, including the frequency by trimester and by clinical indication.

In this case report with an accompanying technique video, the authors discuss a 34 year old woman who presented after having 5 cases of mastitis in 6 months that were managed with multiple courses of antibiotics. The patient was successfully treated with osteopathic manipulative treatment to the affected breast in 2 sessions and taught to perform self myofascial release at home.

The authors retrospectively reviewed the electronic health records of 194 pregnant patients who received osteopathic manipulative medicine (OMM) at a specialty outpatient clinic and characterized their demographic markers as well as their presenting conditions, with the purpose of helping clinicians to better understand the role of OMM as an obstetric adjunctive treatment approach and to identify conditions warranting investigation in future outcome studies.