In many countries pregnant women turn to Chiropractors for help when their baby is in suboptimal or a breech position. The theory behind treatment is that by addressing mechanical issues in the pelvis, the uterus will have optimal positioning. The uterus is attached by ligaments to different areas of the pelvis. By normalizing functioning of the pelvis, the risk for torque on the uterus is reduced. This in turn allows the fetus maximal freedom of movement. There are only limited studies done evaluating these techniques, but many women choose to try this treatment as there are considerable risks associated with both external version and delivery by cesarian section. The Webster technique is one of many commonly used treatment techniques. Suboptimal fetal positioning or fetal malpositioning, due to torquing of the uterus or pelvis can be the cause of low back or pelvic pain and can be addressed with treatment.
It is important for the pregnant woman to avoid uneven postures, such as; sitting with legs crossed, leaning on your desk, standing on one leg, leaning on the sofa. When you get in the habit of always leaning to the same side you create an imbalance in affected muscles and ligaments. Exercises which are beneficial for the pregnant woman are swimming, walking and in some cases yoga.
There are a variety of techniques from South America used during pregnancy and delivery which help to relax uterine ligaments and even relax the mother reducing the need for drugs during delivery. The Rebozo Sifting, or jiggling is a commonly used technique.
Women who have had problems with their lower back or pelvis are at a higher risk for low back pain or pelvic pain during pregnancy due to the increased mechanical load as the uterus increases in size and weight. Treatment of the pregnant patient is gentle and safe, addressing imbalances created by spasming in muscles and ligaments. These imbalances contribute to improper function of the associated joints. By normalizing the function of the low back and pelvis, restoring balance to the muscles, joints and ligaments, many women experience an easier delivery. This is not surprising considering that the uterus and pelvis have optimal tone and functioning. Most women find that treatment allows them to continue with work and daily activities as well as avoid taking pain medication during the pregnancy.
Cheng, Yvonne W. et al. (2006). The Association Between Persistent Occiput Posterior Position and Neonatal Outcomes. Obstetrics & Gynecology;107:837-844.
Lieberman E, Davidson K, Lee-Parritz A, Shearer E. (2005). Changes in Fetal Position During Labor and Their Association with Epidural Analgesia.OB & Gyn;105(5)974-982.
Ridley R. (2007). Diagnosis and Intervention for Occiput Posterior Malposition. Journal of Obstetric and Gynecologic Neonatal Nursing;36(2)135-143.
Benavides L. (2004). Forceps, Posterior Presentation Add to Risk of Anal Sphincter Laceration. American Urogynecologic Society and the Society for Gynecologic Surgeons. Joint Scientific Meeting: Abstract 25.
Ponkey S, et al. (2003) Persistent Fetal Occiput Posterior Position: obstetric outcomes. Obstet Gynecol 101(5pt 1):915-20.