Ectopic pregnancies account for nearly 2% of all pregnancies in
North America and are the leading cause of maternal mortality in the
The vast majority of ectopic pregnancies occur within the fallopian
tubes. However, it can difficult to locate them when they occur
anywhere else, especially in a ruptured ectopic pregnancy.
‘The location of an ectopic pregnancy can be determined using an osteopathic structural examination (OSE) - a simple, noninvasive physical examination technique used by osteopathic physicians.’
The location of an ectopic pregnancy can be determined using a
simple, noninvasive physical examination technique used by osteopathic
physicians, researchers say.
Dr. Daniel Martingano, a resident at NYU School of Medicine,
discovered osteopathic structural examinations (OSE) can be used to
identify whether an ectopic pregnancy is located within the fallopian
tubes, ovaries, or abdomen. His findings were published in February's
issue of The Journal of the American Osteopathic Association
Martingano explains that bleeding caused by a rupture can often
obscure imaging. Typically, in such situations, exploratory surgery is
necessary. Using OSE can make the process of diagnosis much faster - a
crucial benefit if the mother is bleeding out.
Osteopathic obstetricians can also use OSE on expectant mothers at
regular checkups where an abnormal pregnancy may be suspected and
identify an ectopic before it ruptures and becomes an emergency.
"This is a very standard, basic procedure for any osteopathic
physician, so no additional training is needed to make this widely
used," says Dr. Martingano.