Abstract
Introduction
. The development of childbirth care in the current stage involves not only the provision of highly qualified specialized assistance in obstetric hospitals, but also the involvement in practical midwifery of related specialists (therapists, cardiologists, surgeons, urologists, osteopaths, etc.). The multidisciplinary approach thus formed is aimed at preventing and early detection of complications during the birth act within the framework of perinatal health care for mother and child. The emergence of an osteopath position in the state of maternity hospitals has raised questions about identifying groups of mothers who need to receive osteopathic care, as well as the timing of its delivery. Birth prediction is the process of assessing the likelihood of different scenarios that may occur during childbirth, in order to ensure safe and optimal delivery methods for both mother and child. This involves a combination of clinical information, data on the woman′s health status, and medical examination results.
The aim of the study
: to justify the need to use a screening dynamic test of the pelvic mobility of a woman in labor in the obstetric examination protocol to decide on the joint management of the patient with an osteopathic physician.
Materials and methods
. A cross-sectional study included 105 somatically healthy women aged 21 to 42 years in the first stage of labor at O. M. Filatov City Clinical Hospital № 15 (Moscow). All patients underwent a standard obstetric examination, including a dynamic pelvic mobility test, and a clinical osteopathic examination, resulting in a standardized osteopathic report. Subsequently, data was extracted from medical records and processed for medical and statistical analysis.
Results
. In somatically healthy women in labor, somatic dysfunction of the pelvic region is statistically significantly more frequently diagnosed than other somatic dysfunctions in the first stage of labor, and it is typically the predominant one. The presence of somatic dysfunction of the pelvic region, accompanied by asymmetrical mobility of pelvic structures during labor, influences the biomechanics of labor, determining a complicated labor course, manifested by a statistically significantly (pConclusion
. The use of a dynamic pelvic bone mobility test as a screening diagnostic, introduced into routine obstetric practice in maternity hospitals, will allow for the prognosis of the course of labor and the timely referral of women in labor to an osteopathic physician in the maternity ward for osteopathic diagnostics and osteopathic correction, if necessary.