Chiropractic Care during Pregnancy

OptiStart Chiropractic
January 31, 2018

Chiropractic care during pregnancy is aimed at maximizing normal function.

Low back pain is common during pregnancy due to….

- Structural adaptation

- Spinal dysfunction

- Traction

- Pressure or stretch of pelvis tissues.

Some of the reasons for this are:

- the displaced weight gain of 25 to 35 lb greatly increases the stress to the sacroiliac joints.

- As the fetus develops during gestation, this weight is projected forward and the lumbar lordosis is increased, placing extra stress on the intervertebral disks and facet joints.

- The lumbar lordosis, designed to absorb some of the axial forces, loses integrity as a static support and may be a source of discogenic injury.

- In addition, the increase in circulating progesterone, estrogen, and relaxin throughout gestation, especially in the third trimester, brings about pelvic hypermobility and creates a decrease in spinal stabilization.

- Direct pressure of the fetus on the lumbosacral nerve roots may also be a cause of pain.

- Physically strenuous work and previous low back pain are factors that may also be associated with an increased risk of developing low back pain and sacroiliac dysfunction during pregnancy.

Some interesting findings in studies relating to Chiropractic and pregnancy include:

-  75% of pregnant patients who received chiropractic care during their pregnancies stated that they found relief from pain.

- Regarding back pain during labour

- chiropractic may significantly decrease the incidence of back pain in labour.

- The relative risk of experiencing back pain in labour was almost 3 times greater if back pain was experienced during the pregnancy.

- It has also been reported that there may be a relationship between back pain throughout pregnancy and a longer duration of the labor and delivery process.

- A retrospective review of statistics reported that primigravida (first time pregnancy) women who seek chiropractic care throughout gestation have, on average, a 25% shorter labor time whereas multiparous (more than one pregnancy) women who seek chiropractic care throughout their pregnancy have, on average, 31% shorter labor times.

(Cara L. Borggren DC Pregnancy and chiropractic: a narrative review of the literature. Journal of Chiropractic Medicine (2007) 6, 70–74)