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Abstract
Objective: To describe through a case series presentation the chiropractic care of 6 women with medically-diagnosed breech pregnancies at various weeks of gestation in their third trimester.
Clinical Features: The table below summarizes the clinical features of the cases presented.
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Patient #
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Determination of Breech Fetus
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Initiation of Chiropractic Care
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Webster Technique applied
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Result
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1
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36th Week of Gestation
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1 day prior to delivery
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Three times the day before scheduled delivery
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Fetus in vertex position the next day (via Ultrasound)
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2
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36th week of gestation
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1 day prior to delivery
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Three times the day before
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Fetus in vertex position the next day (via Ultrasound)
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3
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33rd week of gestation
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33rd week of gestation
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4 visits (applied every three days)
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Fetus in vertex position via Ultrasound)
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4
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33rd week of gestation
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33rd week of gestation
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3 visits (applied every other day)
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Fetus in vertex position via Ultrasound)
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5
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38th week of gestation
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38th week of gestation
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2 visits (applied every 3 days)
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Fetus in vertex position via palpation
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6
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39th week of gestation
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Same day prior to delivery
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1 visit
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Vertex position during birth
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Intervention and Outcome: The patients were cared for with the Webster In-Utero Constraint Technique, a site-specific chiropractic technique intended to correct sacral subluxation, remove interference to the nervous system, and balance lumbopelvic biomechanics. This in turn results in the removal of in-utero constraints allowing for the best possible fetal positioning.
Conclusion: This case series alludes to the possibility that correction of sacral subluxation results in the correction of fetal malpresentation and malpositioned during pregnancy. A welcomed sequalae in light of the morbidity and mortality for both mother and child for these types of pregnancy.
Joel Alcantara
Research Director, International Chiropractic Pediatric Association, Media, PA and Private Practice of Chiropractic, San Jose, CA
This study was funded by the International Chiropractic Pediatric Association, Media, PA, USA
Presented at Canadian Consortium for Chiropractic Research. Montreal, Canada, July 9-12, 2004
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Chiropractic Research 
