What constitutes contraindications to performing OMM during pregnancy?

• A. Only when pregnancy is clearly abnormal
• B. If patient requests OMM
• C. Essentially anything outside of a completely normal pregnancy
• D. No contraindications at all

Answer: (C)

Safety during pregnancy hinges on the obstetric status. OMM is generally considered only if the pregnancy is completely normal. If there are complications or risk factors, manipulation could threaten the mother or fetus, so those situations are contraindications or require significant modification. That means essentially anything outside a completely normal pregnancy would be avoided or tailored to reduce risk. Consent or patient request does not override safety, and there are indeed contraindications in the presence of obstetric issues, which is why the correct choice highlights that deviations from a normal pregnancy are the deciding factor.