Diário da Espinha

Osteopathic Care of a Twin Risk Pregnancy: Case Study

Abstract

Beatrix Urbanek

A 32 year old patient gravid with twins came in the 23th week of pregnancy; one of her fetus was small for date with polyhydramnion and a beginning feto-fetal transfusion syndrome. This is a very dangerous situation, in which one or both twins can die intrauterine because of the lack of nutrition and oxygen. One of the twins may become a donator and give all its nutrition to the other and won´t grow anymore itself. While the patient got continuous check-ups in the university clinic with ultrasound, she also got osteopathic treatments in short periods, first weekly and continuing with bigger pauses. This treatments were focussed on the uterus and its arterial nutrition and also the form of the uterus, to support the placenta of the twins to get as much oxygen as possible to nourish the babies. An additional focus was seeking for the healthy matrix of the babies intrauterine and if any osteopathic lesions could be found and get helped dissolved. The woman delivered healthy and equal weighted sons in the 38th week with section cesarean. The following case shows that an osteopathic treatment can effectively balance blood flow, growth and the well-being both of mother and children. A careful medical control and the ultrasound showed this effect.