SURF  |   July 2016
Management of Cesarean Deliveries and Cesarean Scars With Osteopathic Manipulative Treatment: A Brief Report
Author Notes
  •  *Address correspondence to Daniel Martingano, DO, NYU Lutheran Medical Center, 150 55th St, Brooklyn, NY 11220-2508. E-mail: daniel.martingano@nyumc.org
     
Article Information
Obstetrics and Gynecology / Osteopathic Manipulative Treatment
SURF   |   July 2016
Management of Cesarean Deliveries and Cesarean Scars With Osteopathic Manipulative Treatment: A Brief Report
The Journal of the American Osteopathic Association, July 2016, Vol. 116, e22-e30. doi:10.7556/jaoa.2016.093
The Journal of the American Osteopathic Association, July 2016, Vol. 116, e22-e30. doi:10.7556/jaoa.2016.093
Abstract

Cesarean scars pose a unique set of risks for women who have had previous cesarean deliveries. Between 1996 and 2007, the rate of trial of labor after previous cesarean delivery increased, along with reported rates of uterine rupture and other complications. Consequently, trial of labor after previous cesarean delivery and resultant vaginal birth after cesarean delivery have decreased and cesarean delivery has increased. With nearly one-third of women having cesarean delivery, the rate of rare complications such as cesarean scar ectopic pregnancy has also increased. An integration of osteopathic manipulative treatment techniques into the management of cesarean deliveries and cesarean scars has yet to be defined. The author presents 4 cases of cesarean delivery in which osteopathic manipulative treatment was integrated with successful outcomes.

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