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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

  • "Dr Boysan is hands down, the best chiropractor I've ever seen. He pays very close attention to where my pain is, and finds where it originated from. I was in a bad accident a few years ago, and did not feel 100% until I started seeing Dr. Boysan. My NEED for a dr. has become less and less. I see him now when I feel like I just need a little adjustment, I haven't felt "in pain" since I started seeing him. He's great and I will never go to anyone else. I drive over an hour to see him. I live 40 miles from him and still will not go to another dr."
    Desire R. Los Angeles, CA
  • "I went to Dr. Boysan after five months of increasing pain in my neck and upper back. My neck has some degenerative issues and I get used to putting up with the stiffness an dlack of movement. Dr. Boysan gave me a thorough examination, put heat packs and the tens machine on me for about ten minutes, and then adjusted me, and my neck would hardly move. He recommended a simple, inexpensive traction device to use at home, which I now due faithfully every day. Today was the third adjustment, and my neck moved better than it has in years. Other chiros recommend expensive, traction machine adjustments several times per week. In three short weeks I am on the road to recovering my pain free, active life."
    Marsha R. Los Angeles, CA
  • "Ok Yelpers, I'm about to let you in on a best kept secret! At Boysan Chiropractic you're not given a 2 minute back crack and sent on your way like at most chiropractor's office. You receive a thorough evaluation, an understandable explanation of your condition and adjustments in which you feel relief right away....and it doesn't stop there! A complimentary 15 minute massage by their massage therapist, hot packs and a traction mat treatment is included in the very fair price as well!"
    Jade E. Venice, CA