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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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  • "A few months ago I started going to see Dr. Christie. She is amazing she did not make me feel bad for not seeing a chiropractor earlier. She went over in detail my x-rays and explained my issues. Dr. Christie takes her time going over what she is doing before she adjusts me."
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  • "Dr. Tiffany Christie is my first chiropractor, and I am quite content about making her my last. She takes the time to understand my needs and develops a personalized treatment plan to reach my goals! She makes every visit a treat - she is personable, professional, and passionate about what she does! Her infectious smile, awesome staff, and pain relieving adjustments have me leaving feeling better than when I first come in.

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  • "I've been to many other chiropractors and not one of them took the time with me that Tiffany did. I was impressed with all of the treatments she offered besides adjustments. She did some soft tissue work on me and used a tool to help break up the scar tissue in my shoulders. I felt a ton of relief when I left. Dr. Tiffany is super sweet, which is a nice change from my last chiropractor who was all business. I LOVED the pre-treatment rolling bed she had me lie on. Get the muscles loosened up and just plain feels good! She also has some retail items that are helpful for aiding in sleeping ergonomically and physical therapy items. It was super nice to work with a chiropractor who wasnt in a rush to get me in and out. That made a big impression on me. Definitely give her a call!"
    Cary T. Seattle, WA
  • "Dr. Christie is amazing! Best upper cervical adjustments I have ever had. She also is quite skilled with Graston techniques. She is always ready to suggest a new kind of stretch, to help me between appointments. Not only is she a very knowledgeable, she is also a pleasure to interact with. Chiropractic care has never been this good!"
    Stephanie E

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