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Vivian Keeler

on 2 August 2013

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Transcript of chiro

A special thanks to my teacher and mentor, Dr. Jeanne Ohm, who has dedicated her life to chiropractic,women & babies.
Chiropractic Care:
A vitalistic approach to wellness for pregnancy and birth.

Vivian Keeler D.C.,CD,HBCE,CH

"Supportive care providers, regained trust in the body and the whole health benefits of chiropractic are being recognized as vital ingredients to a healthier pregnancy and an overall easier birth."
"More and more mothers are discovering the many benefits associated with chiropractic care throughout pregnancy. They appreciate the chiropractor's respect for the body's natural design and function. "
Chiropractic care in pregnancy is vital to the normal physiological function of both the mother and baby in pregnancy and birth.
Prepares the pelvis for an easier pregnancy and birth by creating a state of balance in pelvic bony structures, muscles and ligaments.
Potential Benefits to the Mother:
Removes torsion of the ligaments that support the uterus, thus potentially reducing aberrant tension to the woman's uterus.
Reduces interference to the mother's vital nerve system which controls and co-ordinates all of her systems and functions
by improving maternal function we are decreasing the potential for unnecessary intervention
Benefits to the infant:
Reduces interference to the mother's nerve system allowing for better baby development
pelvic balance allows the baby greater room to develop without restrictions to its forming cranium, spine, and other skeletal structures.
Offers the baby the room to move into the best possible position for birth
With proper fetal positioning,there is a significant decrease in dystocia and the resulting birth trauma caused by intervention
"The resistance to normal function in birth."
Abnormal Labor & Fetopelvic Distortion
What is Abnormal Labor?

Failure to progress: lack of progressive cervical dilation or lack of fetal descent.
Most common indication for primary c-sections (50-60% of all sections)
Over diagnosed in the U.S.
Incorrect diagnosis, epidurals, fear of litigation, ob/gyn convenience.

(25% of all sections occur with DX of dystocia at 3cm cervical dilation, when 4 cm is the accepted dilation for accurate DX)
True CPD (cephalopelvic disproportion) is a tenuous diagnosis because 2/3rds of women dx and given c-sections go on to deliver even larger infants vaginally.
Dystocia is very complex, and although its definition 'abnormal progress in labor' seems simple, there is no consensus as to what 'abnormal progress means'.
Thus, it seems prudent to attempt a better understanding of normal labor in order to determine departures from normal."

Chapter 18, Williams Obstetrics
1. Abnormalities of the expulsive forces-either uterine forces insufficiently strong or inappropriately coordinated to efface and dilate the cervix (uterine dysfunction), or inadequate voluntary muscle effort during the second stage of labor.(power)
Causes for Dystocia:
The following three reasons for Dystocia are defined by Williams Obstetrics:
2. Abnormalities of the maternal-bony pelvis-that is pelvic contraction (passage)
3. Abnormalities of presentation, position, or development of the fetus (passenger)

What is the chiropractic proposed cause of malposition?

Imbalance in the muscles and torsion in the ligaments caused by sacral subluxation. This may lead to uneven pull of the uterus and restricted fetal space for movement.
What is Chiropractic?
Chiropractic is a system of healthcare designed to assist the nervous system in working at its optimum. Because the nervous system controls and coordinates all other systems of the body, it is vital to wellness. Misalignments of the spinal vertebrae called subluxations, may interfere with normal nerve transmission thus causing dis-ease.
Chiropractors working with the parasympathetic nervous system
may help mothers get out of the flight/flight mode.
"Any contraction of the pelvic diameters that diminish the capacity of the pelvis can create dystocia (difficulty) during labor." They further state that the diameter of the woman's pelvis is decreased when the sacrum is displaced.
2. Abnormalities of the maternal bony pelvis-that is pelvic contraction (passage)
Chiropractors define this displacement/deformation as spinal misalignment.
In this theoretical and clinical framework, it is proposed that sacral subluxation may contribute to these three primary causes of dystocia via uterine nerve interference, pelvic misalignment and the tightening and torsion of specific pelvic muscles and ligaments. The resulting tense muscles and ligaments and their aberrant effect on the uterus may prevent the baby from comfortably assuming the best possible position for birth.
Ohm Hypothesis on Sacral Subluxation
"The theoretical and clinical framework of chiropractic in the care of pregnant women is that sacral subluxation may contribute to difficult labor for the mother i.e., (dystocia) Dystocia is caused by inadequate uterine function, pelvic contraction, and baby mal-presentation. The correction of sacral subluxation may have a positive effect on all of these causes of dystocia.
The Webster Technique

is a specific chiropractic analysis and diversified adjustment. The goal of the adjustment is to reduce the effects of sacral subluxation and or SI joint dysfunction. In so doing neuro-biomechanical function of the pelvis is improved
Birth Trauma:
Injuries to the infant that result from mechanical forces (compression/traction) during the birth process.
Average of 6-8 injuries per 1,000 births
Risk factors: infants weighing more than 4500 g., instrumental deliveries, forceps, vacuum, vaginal breech, and abnormal or excessive traction.
Connecting with your Doctor of Chiropractic.
Go to www.icpa4kids.com
and search for a D.C. trained in the Webster Technique
Donate a HypnoBirthing Book to their
lending library
Nonprofit mission to provide families with the valuable information, trusted resources and support for shared values for wellness.
May be looking for guest speakers.
Hosted by practitioners in your community
Introduce yourself to a Family Practice Chiropractor
Take your brochures/cards
Pregnant women need Chiropractic care.

Routine prenatal procedures are not providing women with the confidence and ability to have safe and natural births.
Numerous Interventions, including c-sections and dystocia (difficult labor) are rapidly increasing in our birthing culture.
causes of

(muscle spasm,,injuries,poor positioning etc.)
(catecholamines,drugs,poor nutrition, environmental chemicals)
Chiropractic's role is to overcome stress in pregnancy & birth.

1. Reduce interference to allow body to adapt to all stress.

2. Nurture & Support mother's confidence in normal birth physiology and how it is enhanced with chiropractic care.

3 .Offer education and resources for natural birthing & supportive care providers.

4. Emphasize the chiropractic,vitalistic philosophy-the innate intelligence of the body knows how to give birth!
The body has an innate intelligence that always works toward homeostasis/self healing when there is no interference.
Vitalistic Philosophy

trust in body's wisdom
emphasis on adaptation,homeostasis, healing & regeneration
use encouragement & support
care for the good of the whole
search for the cause by enhancing function
support healing process
Mechanistic Philosophy

Fear, pathology,treat symptoms,
regulating,control tactics
treatment for conditions
fix it
Physiological unfolding of birth
Active management of labor/birth
Fetopelvic Disproportion due to...

malpostion of fetal head (acynclitism or large fetal head diameter.
ineffective uterine surges.
The effects, frequency and overt damage of birth trauma is perhaps the easiest way to understand why all children need to be checked for spinal misalignments and cranial disorders.
Most important Times to Check Infant for Subluxations
Right after Birth
When starting to pick up head while on belly
At onset of crawling
As child begins to sit
When first learns to stand
During initial walking stages
Fear grows roots..
Passion spreads seeds...
"spinal cord and brain stem injuries often occur during the process of birth but frequently escape diagnosis. Respiratory depression in the neonate is a cardinal sign of much injury. In infants, there may be lasting neurological defects reflecting primary injury."
1. Towbin A. Latent spinal cord and brain stem injuries in newborn infants. Develop Med Child Neurol. 1969;54-86
A recent study published in the New England Journal of Medicine revealed startling data. It reports: difficult labor itself and the method of delivery may lead to brain injuries and deaths in babies. Brain injuries were found in:
one out of every 664 infants delivered with forceps
one out of every 860 deliveries by vacuum extraction
one out of every 907 infants delivered by c-section
Towner D et al..Effect of mode of delievery in Nulliparous women on neonatal Intracranial Injury. NEJM 1999:Vol.341, No 23
There are 3 primary reasons:
2.Emotional Causes
3.Medical or Iatrogenic Causes
Dystocia Undefined
50% nearly a circle
most favorable
3% flatened Gynoid shape
Caldwell-Moloy Classification..They describe all non-gynaecoid or "mixed" types of pelvises as "abnormal", a word which has stuck in the medical world even though at least 50% of women have these "abnormal" pelvises.
Most important time to Check Infant for Subluxations:
Right after birth
When starting to pick up head while on belly
At onset of crawling
As child begins to sit
When first learns to stand
During initial walking stages
Full transcript