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The Chiropractic Care of a Gravid Patient with a History of Multiple Caesarean Births & Sacral Subluxation

Joel Alcantara, BSc, DC Bio Ingrid Hamel, DC, FICPA 

Journal of Vertebral Subluxation Research ~ March 11, 2008 ~ Pages 1-5



Objective: To demonstrate the role of chiropractic care in the management of a gravid patient with pregnancy-related low back pain and two prior Caesarean births.


Clinical Features: A 29 year old gravid female was provided chiropractic care to alleviate her low back pain. The patient had two surgical Caesarean deliveries for two previous births due to “failure to advance during labor and associated fetal distress.” In addition to the low back complaint, she wanted to undergo a trial of chiropractic care to possibly enable her to have a natural childbirth.


Intervention and Outcome: The patient was cared for primarily with the Webster Technique, employing a drop-piece mechanism for the sacral adjustment. The patient’s low back complaints were ameliorated along with a successful vaginal birth.


Conclusion: This case report provides supporting evidence on the effectiveness of chiropractic care in patients with pregnancy-related musculoskeletal complaints, and the possibility for facilitating vaginal birth despite previous Caesareans. We encourage further research into this area of care.


Key Words: Webster Technique, VBAC, Gravid, Caesarean, Pregnancy, Chiropractic, Sacral Subluxation

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