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

  • "Want a pain free way to heal. Try NUCCA Chiropractic with Dr. P. She has a gentle touch and caring words to help you heal. I believe in this process and have seen amazing results from this treatment. As a professional violinist and an avid DYI homeowner, Dr. P would always frown upon my aches and pains that I would self inflict. However, her magical hands helped me heal and though I have been released from my first treatment, I have continued to see her each month for maintenance. Her office team is amazing, and I drive an hour and 45 minutes to see her. It's worth it to feel no pain. ~ D. Rose"
    Reina R.
  • "I have been a long time headache sufferer. I have been in a few motor vehicle accidents in the past that I didn't fully recover from. I was very responsive and improved quite quickly from Dr Planchich's very gentle adjustments. Now I go in for checks every 6-8 weeks to make sure I am holding my adjustment. It has helped a lot with my headaches. I am very active, but don't want to be in pain and definitely don't want to take medication."
    Natasha W.
  • "It is a shame that so many people suffer back and neck pain when there is such a simple, painless procedure to heal your body naturally. Last year I hurt my back and could barely move. Dr. Plancich adjusted my spine and within a short time I was completely pain free without surgery, drugs or side-effects. She has the magic touch. She is serious about her work and has an engaging personality. I recommend her to all my family and friends, and they all enjoy the benefits of her treatment."
    John W.