Reduce Pain, Disability & Delivery Time with Chiropractic & Massage
Dear Patients & Friends:
Provocative research continues to suggest that women who seek prepartal chiropractic and massage services may benefit from reduced pain, disability and delivery time.
For example, scientists recently found that of 77 women presenting to the British Columbia Women’s Hospital, patients trended toward lower pain scores and greater mean cervical dilation prior to requesting epidural injections when randomized to a massage therapy group.
In addition, the scientists from the School of Population and Public Health at the University of British Columbia reported that only 13 of 37 massage group patients required amniotomy compared with 24 of 40 usual care group patients, a significant finding ( p < 0.03). Because amniotomy—artificial rupture of the amniotic sac—can trigger cord prolapsed and life-threatening fetal blood loss, reducing the need for this procedure significantly improves the safety of the childbirth process.
Still other studies suggest that various types of chiropractic care may benefit patients with abnormal fetal positioning, measures of fear/anxiety, sleep disturbance, back pain and disability associated with pregnancy, with only very rare risks of complications. Other earlier studies suggest faster labor and delivery times associated with chiropractic care.
A clinical trial published in the April 2013 issue of the American Journal of Obstetrics and Gynecology found that of 169 patients, women randomized to chiropractic plus obstetric care had significantly less back pain and disability before delivery. The study concluded that a multimodal approach to back and pelvic pain in pregnancy benefits patients more than standard obstetrical care.
Due to the increased loads and torque applied to the back because of pregnancy, and far greater risks associated with use of pain medications, patients, midwives and gynecologists are continuing to consider chiropractic care as a viable alternative that is both safe and effective.
Robert A. Leach, DC, MS, FICC(h), CHES
Patients presenting to the British Columbia Women’s Hospital for delivery had significantly less Amniotomy procedures, in addition to trending toward reduced labor pain: Read More
Amniotomy is a procedure whereby the gynecologist artificially cuts and ruptures the amniotic sac, and can cause cord prolapsed, life-threatening fetal blood loss, subsequent changes in fetal heart rate, and minor fetal scalp trauma, according to this article in Medscape: Read More
A 2013 clinical trial found that of 169 women, those randomized to chiropractic and standard obstetric care had less pain and back disability compared with women randomized only to routine obstetric care: Read More
Seventy percent of 81 subjects with abnormal fetal positioning had correction to the vertex position after use of Webster Chiropractic Technique in this 2012 case series: Read More
In the Journal Chiropractic and Manual Therapies, a 2012 paper concluded that all published literature from 1978 until 2009 revealed only a few reported cases of adverse events following spinal manipulation during pregnancy and the postpartum period, including mainly minor injury, although a case of stroke was reported as well: Read More
Measures of fear/anxiety, pain interference and physical functioning/sleep disturbance improved in 6 pregnant patients in pilot research of a practice based research network as published in 2013 in the Journal of Pediatric, Maternal and Family Health: Read More
A recent paper in the journal Canadian Family Physician advocates that physicians consider a multimodal approach using massage therapy and chiropractic care including spinal manipulation, as being “highly safe and effective evidence-based options for pregnant women suffering from mechanical low back and pelvic pain.” Read More