by clicking the arrows at the side of the page, or by using the toolbar.
by clicking anywhere on the page.
by dragging the page around when zoomed in.
by clicking anywhere on the page when zoomed in.
web sites or send emails by clicking on hyperlinks.
Email this page to a friend
Search this issue
Index - jump to page or section
Archive - view past issues
Chiropractic Journal of Australia : CJA June 2012
Chiropractic Journal of Australia Volume 42 Number 2 June 2012 63 CHIROPRACTIC AND PREGNANCY ALCANTARA ET AL especially during pregnancy. Allaire and colleagues,65 in their survey of North Carolina midwives on the use of herbal and other CAM therapies, found that 53% of midwives would recommend chiropractic to their clients. Bayles,66 in a survey on the use, recommendation, and referral of Texas midwives, reported that chiropractic was the most popular for the care of pregnancy-related MSK complaints. Although 29%- 36% of chiropractors diagnose conditions such as pregnancy, menstrual disorder, etc., for the majority of this genre of conditions, chiropractors most often act in the capacity of co-management.67 With respect to the chiropractor demographics, this is the frst reporting in the scientifc literature that characterised chiropractic providers for pregnant patients. The Job Analysis of Chiropractic provides the most comprehensive database characterising chiropractors with respect to demographics, practice activities and their patients.68 To the extent possible in making a comparison, our PBRN chiropractors are mostly female unlike that of the dominant male gender in the profession. The PBRN chiropractors are young (i.e., average age of 33.96 years), and have been in practice for a relatively shorter period of time (i.e., an average of 7.05 years compared to 15.6 years for the “typical” chiropractor) with a larger percentage having a post-graduate certifcation (i.e., about two-thirds of the profession having not worked toward certifcation in a specialty area). With respect to chiropractic technique, similar to the “typical” chiropractor, Diversifed Technique, the Thompson Technique and the Gonstead Technique are commonly utilised. The popularity and common use of the Webster Technique by the PBRN chiropractors refects the uniqueness of this technique in the care of pregnant patients and its need for expertise in the specialization of this type of care (i.e., pregnant patient care). Chiropractic technique is an important variable in achieving effectiveness and safety in the care of the pregnant patients. The data described herein may provide a basis for comparison with future studies. Table 3 PATIENT COMPLAINTS DESIGNATED AS "OTHER." Type of Complaint Addressed Reported Effect of "Decreased Pain" Reported Effect of "Increased Function" "Other" effects chiropractic care 10 Complaint N=75 N=39 • Fetus moved from breech to head down position (N=1) • "Loosened Up" in the low back (N=1) • Numbness in thigh (N=1) • Decrease in headache frequency (N=1) • Migraines headaches resolved (N=1) • Increased comfort during sleep (N=1) • Immune system improvement (N=1) 20 Complaint N=43 N=29 • Diminished Numbness (N=1) • Baby moved to left occiput anterior/ transverse (N=1) • Decreased headache frequency (N=3) • Bowel movement improved (N=1) • "More energy" (N=1) 30 Complaint N=16 N=4 • Headache improvement (i.e., decreased use prescribed medication) (N=1) • Breech Presentation less uterine tension, increased body movement (N=1) • Baby is moving (N=1) • Decreased Dyspnea (N=1) • Improved Sleep (N=1) • Decreased headache frequency (N=3)
CJA March 2012
CJA September 2012