The purpose of the study was to determine the effectiveness of chiropractic care for a pregnant woman with placenta previa, migraines, and neck and back pain with hopes of a vaginal birth after cesarean (VBAC).
Placenta previa is when the placenta is lying in the lower part of the uterus obstructing the cervix which can cause severe obstetric complications. The prevalence of placenta previa world-wide is 5.2 per 1,000 pregnancies with regional variations, such as North America at 2.9 per 1,000 pregnancies.
Chronic migraines have been reported in 4% to 8% of first-time pregnant women. Overall, the use of complementary and alternative medicine (CAM) for pregnant women is popular to increase their chances for a positive experience with their pregnancy and childbirth.
The current study focuses on a case report narrative of a 28-year-old woman carrying her second child at 29 weeks gestation. Her main complaints were a history of chronic migraines due to neck and back pain. She also described how her first child was born via an emergency C-section and that for her second child she was hoping for a VBAC. Finally, a recent ultrasound found placenta previa with her current pregnancy.
The patient’s migraines began with she was 8-years-old with on-and-off chiropractic care over the past 10 years with no resolution. She described her headaches as a severe and intense pain while her neck and back pain was a dull ache. The patient said the only relief for her back and neck pain was massage which only provided temporary relief.
The doctor of chiropractic examined the patient and found that the patient’s upper and middle back were misaligned, as well as displayed muscle tension. The doctor of chiropractic began a care plan with the patient that involved adjusting her upper and middle back.
The doctor had the patient use a pregnancy pillow to support her fetus during the adjustments. She received chiropractic care over six weeks for a total of six visits. After three visits over a ten-day span, the patient reported that her migraines had been resolved.
After her fourth visit, an ultrasound confirmed that her placenta previa had resolved. Following chiropractic care, the patient was able to have a successful VBAC with no complications or use of medications.
She had a follow-up visit a month after giving birth and the patient continued being migraine-free with only complaints of neck and upper back soreness due to holding/breastfeeding her baby.
The importance of finding good quality chiropractic for one’s overall well-being is demonstrated by this case study.
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MLA Citation: Spear, David, & Alcantara, Joel. “Vaginal Birth After Cesarean (VBAC) in a Pregnant Woman with Placenta Previa, Migraines, Neck & Back Pain Undergoing Subluxation Centered Chiropractic.” Journal of Pediatric, Maternal, & Family Health. 2016.1 (2016): 18-21.