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Chiropractic and Breech Babies During Pregnancy

Woman and pregnancy

At some point during the course of her pregnancy, a woman may begin to experience low back pain and even sciatica, that is, radiating pain down the back of a leg. The likely explanation for most of these cases of obstetric-related low back pain is the increased mechanical load due to the weight of the developing fetus, amniotic fluid, and placenta. Many times, low back pain is transient and resolves on its own. However, pregnancy-associated low back pain may persist for more than a week and require conservative treatment to help reduce pain and achieve resolution.

Chiropractic care is the optimal conservative treatment for pregnancy-related low back pain, with or without sciatica. The musculoskeletal structures affected by the increased weight of pregnancy are the vertebral joints of the lumbar spine, the sacroiliac joints, the local ligaments, and spinal musculature. The sacroiliac joints, especially, contain numerous pain receptors and sacroiliac joint dysfunction often causes a substantial component of a pregnant woman's low back pain.

Chiropractic care identifies, analyzes, and corrects these sources of lumbar spine and sacroiliac joint dysfunction and nerve irritation. As a result, information exchange between the brain and the rest of the body is optimized. The ability of the lumbar vertebrae and the sacroiliac joints to bear weight and manage the increased mechanical stresses of pregnancy is facilitated. Stimulation to pain receptors is reduced and the supporting musculature is enabled to relax. Function improves and a sense of improving health and well-being is restored.

In the case of a breech presentation, the buttocks and/or feet of the fetus are positioned closest to the birth canal, rather than in the more typical vertex presentation, with the fetus's head being closest to the route of delivery. A breech presentation occurs during 3-4% of all full-term births. Factors that may be associated with a breech presentation include prior pregnancy, the presence of twins, and too little or too much amniotic fluid. A breech presentation may be identified by specific palpation of the abdomen and confirmed, if needed, by an ultrasound of pelvic examination.

Chiropractic care may be utilized in the overall healthcare management of a breech presentation. If the pregnant mother-to-be chooses a vaginal delivery, chiropractic care may be employed to provide integrative support. By detecting and correcting spinal misalignments and sources of nerve interference in the mother-to-be, chiropractic care helps to optimize all of her physiological processes, including supporting the health and well-being of her developing fetus. By helping to restore and maintain peak physiological function in the mother-to-be, chiropractic care helps provide an environment that supports the activities of other members of the healthcare team in attempts to turn the fetus so that the orientation is head down, and otherwise helps support an optimal outcome of a vaginal delivery.

1Berhan Y, Haileamlak A: The risks of planned vaginal breech delivery versus planned caesarean section for term breech birth: a meta-analysis including observational studies. Brit J Obstet Gynecol 123(1):49-57, 2016

2Fischbein SJ, Freeze R: Breech birth at home: outcomes of 60 breech and 109 cephalic planned home and birth center births. BMC Pregnancy Childbirth 18(1):397, 2018 doi: 10.1186/s12884-018-2033-5

3Alcantara J, et al: The use of validated outcome measures in the chiropractic care of pregnant patients: A systematic review of the literature. Complement Ther Clin Pract 21(2):131-6, 2015


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Testimonials

Reviews By Our Satisfied Patients

  • "I have been going to chiropractors off and on for many years but only when my back was hurting to a point where I had trouble walking due to the back pain. I’ve had a bad back off and on for as long as I can remember so I was anxious to find permanent relief. I started going to Dr. Kip about 2 years ago and after several months I was put on a maintenance program, initially twice a week and months later, once a week. Since I’ve been on the maintenance program, I’ve had no regular issues. These regular visits also have other benefits due to discussions with the Dr. and office staff and info on the “health T.V.”"
    -Ron R.
  • "I have been coming to see Dr. Kip for almost a year. I started coming in because of my back pain but I wasn’t really sure what chiropractic was or how it could help. Today I feel I have a much better understanding and that chiropractic is a very good and necessary asset of healing. My back pain is not so severe now. It feels better, and when it does begin to hurt I know what to do to make it better. The kindness and understanding of the office staff give the whole experience a calming and reassuring vibe."
    -Joycie G.
  • "Our family has been coming to see Dr. Kip for 2 years. We came in initially because Julie was having severe shoulder pain along with numbness in her arms. She thought it was linked to a problem in her neck. Brian suffered from migraines every few months. We didn’t know much about chiropractic care before. We’d had some in the past but never on a regular basis. I believe our family is healthier as a result of chiropractic care. In fact this year has been the healthiest year for our family with no sickness other than colds and Brian experiencing fewer migraines! We love the staff, of course, and the affordable care plan allows our entire family to receive care."
    -Brian K. and Family