• Shtulman I
• Alcantara Joel

• Activator Method / instrumentation
• Adult
• Breech Presentation
• Female
• Pregnancy
• Twins
• Webster Technique

Objective: To describe the chiropractic care of a pregnant woman with a double footling breech malpresentation.

Clinical Features: A 38-year-old female presented for chiropractic consultation and possible care in her 30th week of gestation with twins in a footling breech presentation. According to the patient, she received no previous chiropractic care and experienced three previous singleton pregnancies without complication. The patient was physically active, playing volleyball and swimming for sport.

Intervention and Outcome: The patient was cared for over a two-week period consisting of five patient visits. Due to the patient’s size, the Activator instrument was utilized to adjust a sacral subluxation following the principles of the Webster Technique. Both fetuses turned to vertex, facilitating a successful vaginal birth without the use of medications.

Conclusion: This case report provides supporting evidence on the benefits of chiropractic care for the pregnant woman with a double footling breeched fetus. We encourage further research in this field.

Author keywords: Chiropractic, Webster Technique, pregnancy, breech, subluxation, adjustment, footling breech, twins

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