List the basic tenets of osteopathic medicine.

Perform a structural exam of the female.

Perform the different types of osteopathic manipulative treatments (OMT) commonly used in women’s health care, including:
1. High velocity/low amplitude
2. Muscle energy
3. Myofacial release
4. Osteopathy in the cranial field
5. Strain/ counterstrain
6. Soft tissue/ articulatory techniques
7. Lymphatic treatment
8. Balanced ligamentous tension
9. Facilitated positional release
10. Progressive inhibition of neuromuscular structures
11. Functional technique
12. Visceral manipulation
13. Still technique

Identify evidence supporting the use of OMT in ob-gyn.

Obtain a comprehensive women’s musculoskeletal history (e.g., scoliosis, musculoskeletal traumas, and biomechanical factors that may have influence on pregnancy and the outcome of pregnancy).

Assess the patient for any lifestyle risk factors that may contribute to chronic somatic dysfunction.

Obtain a thorough social history, including assessment of psychosocial support and understanding the impact of social and environmental factors on support.

Perform an accurate osteopathic structural exam of the female patient.

Identify areas of somatic dysfunction.

Document all findings accurately in the patient chart, including:
1. Tenderness, asymmetry, restriction of motion, and/or tissue texture changes (TART) findings
2. Specific somatic dysfunctions
3. Spinal curves or postural influences

Include somatic dysfunction as a part of the differential diagnosis when appropriate.

Incorporate osteopathic manipulative treatment (OMT) approaches as indicated, with consideration of value-based care.

Explain the indications and contraindications to osteopathic manipulative medicine (OMM) in pregnancy and women’s care, with an understanding of patient safety.

Describe how musculoskeletal, postural and biomechanical factors affect fertility.

Identify patients that may benefit from treatment of somatic dysfunction before pregnancy, including patients with:
1. Short leg syndrome
2. Chronic pelvic pain
3. Chronic low back pain

Discuss maternal musculoskeletal/ structural changes associated with pregnancy.

Describe how osteopathic manipulation may affect the physiology of pregnancy.

Perform musculoskeletal, postural and biomechanical screening exams throughout prenatal care, with consideration of value-based care.

Perform the treatments for common somatic dysfunctions in pregnancy, including:
1. Round ligament syndrome
2. Pubic shear
3. Carpal tunnel syndrome
4. Low back pain

Prepare the female pelvis for delivery via osteopathic manipulative medicine (OMM) in the third trimester.

Discuss the normal and abnormal structural, musculoskeletal and biomechanical changes of the postpartum period, including:
1. Involution of the uterus and how it affects pelvic structures
2. Persistent low back pain after pregnancy

Describe the common somatic dysfunctions of the postpartum period and describe their corresponding osteopathic manipulative treatments (OMT)
1. Symphysis diaphysis
2. Sacroilial dysfunction
3. Pubic shear
4. Low back pain
5. Breast engorgement and mastitis
6. Postpartum depression

Diagnose somatic dysfunction as a possible etiology for acute pelvic pain, including:
1. Iliosoas dysfunction
2. Pubic shear
a. Vertical
b. Anteriorposterior
3. Sacroiliac dysfunction
4. Sacral torsion
5. Myofascial strains
6. Restrictions of the pelvic diaphragm

Describe the musculoskeletal, structural and biomechanical factors that may be associated with chronic pelvic pain.

List appropriate uses of osteopathic manipulative treatments (OMT) to manage both acute and chronic pelvic pain with consideration of value-based care.

Identify possible tissue changes that are not visible by imaging for patients with a history of sexual abuse.

Describe ways OMT can help prepare a patient for surgical gynecologic procedures.

Discuss ways OMT can be used to decrease need for analgesics in the postoperative period, with consideration of value-based care.

Perform OMT for the postoperative conditions, with consideration of value-based care.