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Letters to the Editor  |   May 2007
Response
Author Affiliations
  • Sarah J. Breese McCoy, PhD
    Oklahoma State University Center for Health Sciences and College of Osteopathic Medicine Tulsa
    Assistant Clinical Professor of Obstetrics and Gynecology
Article Information
Obstetrics and Gynecology / Osteopathic Manipulative Treatment / Psychiatry
Letters to the Editor   |   May 2007
Response
The Journal of the American Osteopathic Association, May 2007, Vol. 107, 200. doi:10.7556/jaoa.2007.107.5.200
The Journal of the American Osteopathic Association, May 2007, Vol. 107, 200. doi:10.7556/jaoa.2007.107.5.200
I would like to thank Dr Lee for his interest in the research described in our April 2006 original contribution to JAOA—The Journal of the American Osteopathic Association.1 
My colleagues and I have recently completed a follow-up study that is similarly designed, but more scientifically rigorous, than our JAOA report. It is currently in press with the Journal of Reproductive Medicine.2 Although we have not yet formally investigated osteopathic manipulative treatment (OMT) in the management of postpartum depression, we concur with Dr Lee that such a study would be interesting and worthwhile. In fact, such a study is currently in the early planning stage in the Department of Obstetrics and Gynecology at the Oklahoma State University Center for Health Sciences and College of Osteopathic Medicine in Tulsa. 
Our attending obstetricians frequently use OMT, as needed, with both pregnant and postpartum patients. We would point out, however, that properly designing a scientifically rigorous study of this nature presents some difficult challenges as a result of the need for a sham treatment resembling OMT to serve as a control. 
Breese McCoy SJ, Beal JM, Miller Shipman SB, Payton ME, Watson GH. Risk factors for postpartum depression: a retrospective investigation at 4-weeks postnatal and a review of the literature [published correction appears in J Am Osteopath Assoc. 2006;106:687-688]. J Am Osteopath Assoc. 2006;106:193-198. Available at: http://www.jaoa.org/cgi/content/full/106/4/193. Accessed May 7, 2007.
Breese McCoy SJ, Beal JM, Saunders B, Hill EN, Payton ME, Watson GH. Retrospective investigation of risk factors for postpartum depression. J Reprod Med. 2007. In press.