During early pregnancy, what is a key objective of the structural assessment?

• A. Examine for pre-existing somatic dysfunctions that can impact circulation to the fetus
• B. Screen for fetal anomalies with ultrasound
• C. Determine the due date
• D. Assess placental perfusion clinically

Answer: (A)

In early pregnancy, the structural assessment aims to identifies somatic dysfunctions that could affect blood flow to the fetus. From an osteopathic perspective, dysfunctions in the pelvis, sacrum, spine, or thoracic inlet can alter uteroplacental perfusion by impacting venous return, diaphragmatic motion, and autonomic regulation. Detecting these issues allows for interventions to help restore normal mechanics and potentially improve fetal circulation during this critical period.

The other options involve imaging to detect fetal anomalies, dating the pregnancy, or evaluating placental perfusion with clinical methods, which are not the focus of the maternal structural assessment aimed at optimizing circulation to the fetus.