in the first phase, the emphasis is to ensure good structural and visceral mobility of the lower abdomen and pelvic bowl to better allow the embryo to settle in the lining of the uterus and begin its development. Miscarriages are the body inability to keep and nurture the embryo, and are most common in the first trimester of pregnancy (generally 60%). They can occur from many causes, with generally half miscarriages being caused by chromosomal abnormality. Osteopathic treatment cannot prevent the event of genetic abnormality of the embryo; however adequate osteopathic treatment and preparation may improve and possibly fully restore the normal mobility and function of the reproductive system and the pelvic bowl if affected. It will ensure optimum blood flow and drainage to and from the area, and relieve the body from other chronic musculoskeletal and visceral patterns.
In the last trimester of the pregnancy, much of the body’s physiology, biomechanics and posture are altered by the weight and size of the foetus. Most of the visceral organs, such as the stomach and liver, are pressed upwards against the diaphragm by the enlarged uterus; the spinal curves suffer great stress from the change in weight bearing brought by the ever growing weight of the foetus, all the whilst hormonal changes begin to fully affect the psyche and general body tissues. During that time, the aim of osteopathic treatment will be birth preparation. The birth process requires immense elasticity and mobility from the body, and particularly from the pelvic tissues. The bones need enough mobility to permit the pelvis to change shape during the delivery allowing optimum passage through the birth canal. Any musculoskeletal dysfunction of the pelvis and sacrum will restrict the mobility of the bones and may complicate the delivery.
Very often if the patient was followed and treated before and during the pregnancy, the last stage and birth preparation do not require extensive osteopathic work, in such cases pelvic mobility and function are obtained and maintained using a combination of specific stretching exercises for pelvis muscles and tissues.