Chiropractic and Pregnancy

For a healthy birth

Pregnancy is a natural process for all women. The expecting mother should feel as little discomfort during her pregnancy as possible. During pregnancy the mother will release a series of hormones into the body enabling the body to deal with the growing baby. Many of these hormones act on the soft connective tissues including muscles, ligaments and skin allowing these structures to become more lax and, in doing so, allowing the baby to grow.

The problem that can ensue in many pregnant ladies is that all the muscles and ligaments are affected in the body by the hormones which is not always a good thing to happen. The reason why this is not a good thing to happen is because the main stabilizing structures of the spine are the muscles and ligaments and when these become more lax due to hormonal changes there is less stability in the spine and more chance of spinal injury.

Also, it is important to remember that the expecting mother will also notice that there is a large increase in the curve of her lumbar spine (low back). The reason this occurs is in order to compensate for the increased weight at the front of the body. Also, in order to maintain the body's centre of gravity the mother naturally arches her low back more. In doing so, an increased pressure is placed on the discs, nerves and muscles in the low back and thus creating low back pain.

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Structural changes during pregnancy

The birth canal

The birth canal is made up of the 2 identical pelvic bones. The 2 pelvic bones make 3 distinctive joints that articulate with each other to form the pelvis as one. As in any joint in the human body, these joints are designed to move when the body needs them to.

As the growing baby gets bigger, it puts an increased amount of stress on these three joints, the end result most commonly being misalignment of the sacroiliac joints (seen either side of the spine in the diagram).

This misalignment results in two possible outcomes. Firstly, the joints affected have large amounts of pain receptors (nociceptors) situated in and around them and so any misalignment of these joints can cause a large amount of low back, buttock and groin pain. Secondly, misalignment of these joints will also change the shape of the normally smooth circular birth canal and, in doing so, decreasing the overall size of it. The end result is that the new born baby who has already got a very small opening to move through during birth has an even smaller birth canal. This can potentially cause more stress for mother and baby during the birth process as more force may be needed by the obstetrician to deliver the baby.

How can chiropractic help?

Firstly, your Chiropractor will carefully analyze your spine and pelvis to find out exactly which joint is responsible for any misalignments. Your Chiropractor will then specifically and gently correct any misalignments reducing your pain and also allowing the pelvis to be in its optimum position to allow your baby to comfortably manoeuvre into the vertex position. Research has shown that, due to a correctly aligned pelvis and an optimal birth canal size, pregnant woman who are under chiropractic care during their pregnancy experience less discomfort during delivery and can expect up to a 39% reduction in labour time.

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