• Spear M
• Alcantara Joel

• Adult
• Affiliation / Private Practice of Chiropractic
• Affiliation / Research Director. International Chiropractic Pediatric Association
• Affiliation / Sherman College of Chiropractic. Senior Research Consultant
• Affiliation(G) / United States / Oregon / Eugene
• Affiliation(G) / United States / Pennsylvania / Media
• Affiliation(G) / United States / South Carolina / Spartanburg
• Female
• Hip Joint
• Network Spinal Analysis
• Pregnancy, Twin
• Vaginal Birth after Cesarean

Objective: To describe the outcomes following chiropractic care of a pregnant woman who was able to have a vaginal birth of twins after a caesarean (VBAC).

Clinical Features: A 34-year-old woman at 16 weeks gestation with twin girls presented with a chief complaint of acute left sacroiliac, left posterior hip and left buttock pain of unknown origin and 3 weeks duration. Her pain complaints had worsened since onset with the pain rated at 6/10. Rest was palliative while random weight bearing activities and climbing stairs were provocative. In addition, the patient had a desire to have a natural childbirth since giving a caesarean birth two years prior.

Intervention and Outcome: The patient was cared for with Network Spinal Analysis set at 2 times a week for 8 weeks and then re-evaluated for frequency with at least 1 time a week until the birth. The patient received 18 adjustments over the course of 19 weeks. The patient’s presenting complaints abated and at almost 36 weeks gestation, she successfully delivered twins via vaginal birth after caesarean.

Conclusion: This case report provides supporting evidence on the benefits of chiropractic care for the pregnant woman with the desire for VBAC. We encourage further research in this field to facilitate a natural childbirth.

Author keywords: Chiropractic, twin pregnancy, VBAC, vaginal birth after caesarean, pregnancy, adjustment, Network Spinal Analysis, vertebral subluxation

This abstract is reproduced with the permission of the publisher; full text is available by subscription.