New Guidelines Recommend Hands-Off Approach for Low-Risk Pregnancies

The January 25, 2017, issue of the MedPage Today published an article on new guidelines suggesting that less intervention in low-risk births is better. A similar articles based upon the same guidelines also appeared in a number of publications including the Huffington Post.

New Guidelines Recommend Hands-Off Approach for Low-Risk Pregnancies - Chiropractor Austin TX Pregnancy Low Back Pain Sciatic Buttocks Leg PainThe American College of Obstetricians and Gynecologists (ACOG), which represents over 58,000 members, put out a release titled, “Approaches for Ob-gyns and Maternity Care Providers to Limit Intervention During Labor and Birth in Low-Risk Pregnancies.” This release brings new guidelines that emphasis less medical interference with the birth process.

There has been much written over the past few years suggesting that the birth process has moved from a natural and normal process to a medical procedure. The discussion of how much intervention is really needed for a safe and normal birth has left many expectant mothers confused.

The ACOG has attempted to decrease the intervention at childbirth by issuing new guidelines for low-risk births. The new recommendations have also been endorsed by American College of Nurse-Midwives and the Association of Women’s Health, Obstetric and Neonatal Nurses.

The new guidelines include the following:

  • Consider allowing low-risk women to labor at home on their own for longer.
  • Avoid rupturing the amniotic sac if a woman is progressing normally.
  • Avoid constant fetal heart rate monitoring when appropriate to allow women to move around.
  • Allow women to switch positions and push in whatever manner works best for them during labor.
  • Offer women non-pharmacologic pain relief techniques.

In prefacing the guidelines committee opinion author, Jeffrey L. Ecker, M.D., chief of the Obstetrics & Gynecology department at Massachusetts General Hospital stated, “Practitioners always put the best interests of moms and babies at the forefront of all their medical decision-making, but in many cases those interests will be served with only limited intervention or use of technology. Dr. Ecker continued, “These new recommendations offer providers an opportunity to reexamine the necessity of obstetric practices that may have uncertain benefit among low-risk women. When appropriate, providers are encouraged to consider using low-intervention approaches that have been associated with healthy outcomes and may increase a woman’s satisfaction with her birth experience.”

The conclusion of the ACOG sums up the new guidelines, “Many common obstetric practices are of limited or uncertain benefit for low-risk women in spontaneous labor. In addition, some women may seek to reduce medical interventions during labor and delivery. Satisfaction with one’s birth experience also is related to personal expectations, support from caregivers, quality of the patient–caregiver relationship, and the patient’s involvement in decision making. Therefore, obstetrician–gynecologists and other obstetric care providers should be familiar with and consider using low-interventional approaches, when appropriate, for the intrapartum management of low-risk women in spontaneous labor.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. Austin chiropractor located in north central Austin, TX.


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Acquired Torticollis Resolved Under Chiropractic: A Case Study

What is Wry Neck? Can Chiropractic Help Torticollis?

The Journal of Clinical Chiropractic Pediatrics published a case study in their December 2016 issue documenting the resolution of a case of acquired torticollis in a baby. Torticollis, sometimes known as wry neck, is a condition where the head is tilted significantly downward and to one side. This is usually due to a pulling from the muscles of the neck.

Acquired Torticollis Resolved Under Chiropractic - Austin Texas Chiropractor Best Reviews Most Trusted Palmer CollegeThe study points out that there are two types of torticollis, congenital and acquired. Congenital torticollis is present at birth and is defined by WebMD as, “Congenital torticollis occurs when the neck muscle that runs up and toward the back of your baby’s neck (sternocleidomastoid muscle) is shortened. This brings your baby’s head down and to one side.” Acquired torticollis is similar except that it was not present at birth, and may have been caused by some form of trauma to the child.

In this case, a 31-month-old boy was brought to the chiropractor because the boy was suffering from neck pain and torticollis for the past six weeks. The history revealed that two weeks prior to the onset of problems the boy had fallen while trying to climb into a stroller. No one witnessed the actual fall, but the boy was complaining of left knee and ankle pain and he was limping. A few days later, the torticollis appeared.

A week after the fall, he was brought to a pediatric hospital where x-rays of the left knee and ankle were taken and determined to be normal. The medical diagnosis was an ankle sprain. A prescription of ibuprofen was given for the pain and inflammation. One week later, the child was again brought back to the hospital for the neck pain and torticollis. At that time, additional x-rays and blood tests were performed but determined to be normal.

One month after the hospital visit, the boy was brought to the chiropractor. He was suffering persistent limping and torticollis. The neck pain was more severe at night and had gotten so bad that the boy had started to hit his forehead with his hands. He was also suffering from fatigue, and was lethargic and irritable.

A chiropractic examination was performed and chiropractic care was initiated. Each visit, the results and improvements were recorded. After the first visit, it was reported that the boy had improved about 25% and was now able to lie on his back. By the second visit, he was sleeping better, was less irritable, and the ibuprofen was discontinued. By the third visit, there was no visible torticollis and no complaints on all subsequent visits.

In their conclusion the authors noted, “Neck conditions are the second leading reason for patients seeking chiropractic care in Canada and the United States. It is therefore probable that a parent may seek chiropractic care for a child who develops a torticollis.” They continued, “Pediatric chiropractic care proved beneficial for this young boy with acquired torticollis.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. We are located in north central Austin, TX.


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Infants Benefit from Chiropractic Care According to UK Study

Does Chiropractic Help Infants? What Do Chiropractors See Kids For?

A study published in the May 2016 issue of the Journal of Clinical Chiropractic Pediatrics showed that a vast majority of parents who brought their infants in for chiropractic care in the United Kingdom were pleased with the results. The study was conducted at the Anglo European College of Chiropractic, Bournemouth, United Kingdom.

Infants Benefit from Chiropractic Care According to UK Study - Austin TX Pediatric Chiropractor for Infants Babies NewbornsThis study surveyed parents who brought their children to a university affiliated chiropractic teaching clinic on the southern coast of England. The survey used was a parent reporting outcomes instrument, known as the the United Kingdom Infant Questionnaire (UKIQ).

The study notes that 21 percent of the patients who received care at the Anglo European College of Chiropractic clinic between 2006 and 2010 were pediatric patients. The age ranged from infants to 15 years of age. The study reports that 98 percent of the pediatric patients at the clinic were infants.

The reasons why parents brought their infants for chiropractic care included personal experiences, lack of appropriate treatments available from conventional medicine, and referral from a medical physician.

In this study, every mother of an infant brought in for care was given a 12 question form to fill out. At the completion of care, the mothers were then asked to complete a form with 13 questions. The questions were set to monitor the progress of the child’s care and to obtain an overall picture of the baby’s complaints or discomfort as well as the mother’s concerns.

The most common health concerns for which the infants were brought in for chiropractic care included 21 percent for crying, 20 percent for feeding issues, 19 percent for uncomfortable spine, 16 percent for sleeping issues, 16 percent related to difficult birth or checkup, and 8 percent for head shape issues. Only 25 percent were brought to the chiropractor first while 75 percent had been to medical professionals before chiropractic care.

The survey showed that 97 percent of the mothers who brought their children in for chiropractic care reported a positive improvement in their babies. Of this, 34 percent commented that their infants were “…completely better, like a different baby.” During the course of the entire study, no adverse events were reported.

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. We are located in north central Austin, TX.


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Improvement of Gastroesophageal Reflux Disease (GERD) with Chiropractic

What is GERD? What is Effective for Pediatric Reflux?

A case study published in the May 2016 issue of the Journal of Clinical Chiropractic Pediatrics documents the recovery of a infant suffering with gastroesophageal reflux disease (GERD) under chiropractic care. According to the Mayo Clinic GERD “…occurs when food backs up (refluxes) from a baby’s stomach, causing the baby to spit up.”

Improvement of Gastroesophageal Reflux Disease (GERD) with Chiropractic - Austin TX Pediatric Chiropractor HelpThe author of the study begins by noting that medical care for gastroesophageal reflux disease has not been shown to be effective. One study showed that the most common type of medication used for GERD has been shown to be no more effective that a placebo. Because of this, alternative care such as chiropractic is in great need for babies with this condition.

In this case, a four-month-old baby girl suffering from recurrent regurgitation after feeding was brought to the chiropractor. The baby was exclusively breastfed. The baby did not like being carried and often regurgitated after feeding. She also suffered with frequent crying, belching, interrupted sleep, choking, wheezing while sleeping, fussiness, distended stomach, and excessive intestinal gas.

The girl’s mother reported that she noticed these problems from about the second day after birth. In order to better sleep, the baby’s mother would place her on an incline mattress. The baby would also regurgitate almost every time her legs were raised to change her diapers.

A chiropractic examination was performed that included visual inspection, testing of reflexes, neurological testing, range of motion of the spine, palpation of the abdomen, and dynamic palpation of all spinal segments. Most of the test were normal. However, the abdomen was distended and areas of restriction were found in the spine. Subluxations were determined to be present and care was initiated.

The result of the care was the complete resolution of the baby’s GERD. The baby’s distended stomach returned to normal and the wheezing while sleeping stopped.

In the conclusion the author wrote, “Since current evidence fails to support traditional medicinal methods to treat GERD in infants, chiropractic care merits investigation as a safe alternative that might prove more efficient than medication and with fewer side effects.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson. We are located in north central Austin, TX.


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Resolution of GERD in an Infant Following Chiropractic Care

What is GERD? Can Chiropractic Help Gastroesophageal Reflux Disease?

The Journal of Pediatric, Maternal & Family Health published a study on May 19, 2016, documenting the case of an infant with gastroesophageal reflux disease, (GERD) being helped with chiropractic. According to the Mayo Clinic, “Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus).”

Resolution of GERD in an Infant Following Chiropractic CareThe study authors note that GERD is the most common reason for visits to a gastroenterology clinic in North America. They report that the prevalence of GERD is highest in North America at between 18.1 to 27.8% of the population having the condition. In Europe, the rate is about 9.8–18%, while in Asia, the rate is the lowest at only 5% of the population suffering from GERD at some point.

There has been an increase in alternative healthcare usage, such as chiropractic, for children with problems like GERD. In August of 2008, a study published in Pediatrics noted that, “Almost 40% of parents of pediatric gastroenterology patients are turning to complementary and alternative medicine for their child. Lack of effectiveness of conventional therapy, school absenteeism, and adverse effects of allopathic medication are more important predictors of complementary and alternative medicine use than the type of gastrointestinal disease.”

In this case, a 1-month-old baby girl was brought to the chiropractor. According to her mother, the infant had been suffering with GERD since birth. Her symptoms included gurgling at night, wakeful sleep, and the appearance of a facial grimace. The symptoms were worse at night, but occasionally appeared during the day.

An examination was performed and a determination was made that subluxations were present in the child’s spine. Specific adjustments were given over the following weeks to address the subluxations found by examination.

The study reported that the infant responded well to chiropractic care with the infant showing relief early in care. The length of time the relief was noted got longer as time under care progressed. In rating her child’s improvement, the mother recorded that her child was “…a very great deal better.”

The authors also reviewed a number of other case studies of GERD being helped by chiropractic. This body of evidence adds to the documented effectiveness of chiropractic care for patients with GERD. In their conclusion, the authors wrote, “We reported the successful chiropractic care of a 1-month old female with subjective complaints consistent with GERD. This study opens the possibility that similar patients may benefit from chiropractic care.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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Resolution of Breastfeeding Difficulties With Chiropractic

Why Is My Baby Refusing To Latch? Can Chiropractic Help Latching Problems During Breastfeeding?

A study published on April 25, 2016, in the Journal of Pediatric, Maternal & Family Health documented the case of an infant who was having difficulties with breastfeeding being helped with chiropractic care.

Resolution of Breastfeeding Difficulties With Chiropractic Austin TX Chiropractor Pregnancy Infant LatchingThe authors of this study begin by noting the seriousness of breastfeeding problems. Breastfeeding difficulties in the newborn can have dire consequences. Beyond the obvious need for sustenance, studies indicate that breastfed infants have fewer ear and respiratory tract infections, diarrheal illnesses, and atopic skin disorders.

In this case, a 2-week-old boy was brought to the chiropractor for help with difficulties of latching to breastfeed. The infant had not had any previous medical care for this problem and was not on any medication. Examination of the baby’s abdomen and lungs were normal, as were his neurological reflexes.

The history also showed that the baby was born vaginally by vacuum extraction. In many cases, this procedure can lead to damage and nerve impingement of the structure of the upper neck. This process is known as subluxation.

Palpation of the spine along with visual inspection led to the conclusion that multiple subluxations were present in this infant’s spine. With parental consent, the infant started receiving specific forms of adjustments designed for infants.

The study reports that the infant started showing improvement early in care. Over a period of four months, the infant continued to improve to the point where there was no longer a problem breastfeeding.

The authors reviewed additional literature on chiropractic helping breastfeeding problems and found 24 articles and research on this issue showing similar findings to their own. A common thread through all these studies was the finding of subluxations in the child or infant’s spine. Correction of the subluxations led to the positive results.

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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Baby’s Life Changed With Chiropractic

What is Sandifer Syndrome? Can Chiropractic Help With Digestive and Neurological Problems?

The Journal of Pediatric, Maternal & Family Health published a case study on April 14, 2016, documenting the case of a baby girl who was suffering with a variety of digestive and neurological problems being helped by chiropractic. The baby had been diagnosed medically with Sandifer syndrome since birth.

Chiropractic-Baby-Adjustment-Austin-Tx-Pediatric-Family-Chiropractor-Health-WellnessThe study reports that Sandifer syndrome is when a baby exhibits contortions of the head and neck, sometimes the chest, and abnormal postures, in an effort to relieve their symptoms from severe gastro-esophageal reflux with or without hiatal hernia. It is believed that these spasms may actually be seizures and appear as sudden extensions of the head and neck where the head may be twisted from side to side and the upper part of the trunk bent from side to side.

In this case, a 12-pound, 11-week-old baby girl suffering from reflux and digestive problems, possible seizures, and possible colic, was brought to the chiropractor. She had been diagnosed by a pediatric neurologist and pediatric GI specialist with Sandifer syndrome. Her symptoms included explosive bowel movements since birth, but she started to become constipated, going 3-5 days without a bowel movement. It was reported that the infant screamed uncontrollably during her first week of life.

The infant girl also experienced regular hiccups, vomiting, and difficulty lying flat which would cause her hands to shake, eyes bounce, face to become red, and she would scream. Due to the severity of her suffering, the baby was placed on the powerful medication Zantac twice per day.

A chiropractic examination with spinal palpation was performed. Vertebral subluxations were found and specific adjustments were done as needed. By the seventh visit, the study reports that the baby showed more frequent bowel movements, decreased reflux, decreased gagging, decreased spitting up, and was able to lay flat again.

As care continued, by the 10th visit it was noted that the patient began sleeping in her crib for six hours a night and was having bowel movements daily. On the 12th visit, the baby’s mother was asked to fill out an evaluation form to report on the progress of her baby girl. In the evaluation, she noted that her daughter was less congested, had no more episodes of shaking, was better during tummy time, showed less fighting when eating, had better sleeping, and more frequent bowel movements. The baby girl also exhibited more energy, and an overall increase in playfulness.

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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Health Issues Caused by Birth Trauma Helped by Chiropractic

Do Chiropractors Care for Infants? How Does Chiropractic Care Help Birth Trauma?

On March 21, 2016, the Journal of Pediatric, Maternal & Family Health published a case study showing chiropractic helping an infant with multiple health issues resulting from a traumatic birth.

Health Issues Caused by Birth Trauma Helped by Chiropractic - Chiropractor Austin Texas help for pain from car accidentThe study begins by noting that about 5% of all births in the U.S. are either by forceps or by vacuum extraction.  They report that forceps delivery is associated with an increased death rate during birth, and that vacuum extractions are associated with increased head injuries, facial paralysis, and other head and nerve problems. Chiropractors are interested in this problem from a standpoint of the effect these types of births have on the upper portion of the neck.

In this study, a 6-week-old baby boy was brought to the chiropractor for consultation and possible care with problems of infantile colic, acid reflux, restlessness, inability to relax and/or lay on his back, difficulty sleeping and general irritability. The baby’s mother described her son as being fussy, restless, always tense and frustrated. She reported that in the first six weeks of life he was screaming and could not be comforted during all his waking hours. While sleeping, the infant would moan and whimper.

The baby had been given a medical diagnosis of acid reflux and infantile colic and he was given the label of a “high needs baby.” With this diagnosis, the infant was prescribed and given a generic form of the medication Zantac for his colic and reflux.

A history of the birth process revealed that infant’s mother did not experience any contractions prior to the beginning of labor. After only 17 minutes, it was reported that the baby’s heart rate had decreased. Because of this, an episiotomy was performed and the baby was pulled out with the aid of vacuum extraction. This resulted in a large bruise on the infant’s skull from the vacuum extraction.

A chiropractic examination of the infant revealed the presence of multiple vertebral subluxations, including several in the upper neck region.  Chiropractic adjustments were performed  specific to the subluxations, and the age and size of the infant.

After the first adjustment, the mother reported that her son had the longest nap he had experienced since birth. The parents also reported that within the first week, the infant had six large bowel movements within 36 hours of being adjusted, was less fussy, less gassy, sleeping more soundly and peacefully, showed improved postural alignment of the neck and entire body, and appeared to be much happier, more comfortable, and demonstrated an overall improved demeanor. After several more visits, the child no longer had any of the digestive issues or other health concerns seen on the initial evaluation.

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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Resolution of Infantile Colic in Infant after Chiropractic

What Do I Do With A ColiCky Baby? Does Chiropractic Care Help Colic? Do Chiropractors Treat Infants and Babies?

The Journal of Pediatric, Maternal & Family Health published a study on March 7, 2016, documenting the case of an infant with colic being resolved under chiropractic care. It is estimated that colic occurs at a rate of between 10% and 40% of infants up to 3 months of age.

Resolution of Infantile Colic in Infant after Chiropractic - Austin TX Chiropractor Pediatric Infants Babies Kids Children TeensThe study begins by noting that infantile colic was defined in 1954 by Dr. Morris Wessel who determined that a series of “threes” were needed to make the determination of colic. The “threes” were: an infant crying and/or fussing for more than three hours a day, on three or more days per week, for three weeks or more, in an infant less than three months of age who was well-fed and otherwise healthy.

Excessive crying seems to be the chief characteristic of infants suffering from colic. The authors note that the crying is usually difficult to console and associated with feeding problems that include spitting, poor sleep, and passing excessive gas.

In this case, a three-month-old baby boy was brought to the chiropractor with symptoms of colic and frequent crying spells. The baby would scream and cry without any noticeable reason. The boy’s parents described their baby’s situation by saying he “…screams and cries out of nowhere, not sure if its personality or something hurts, screams like he’s in pain.”

The history reported that the baby had severe signs of colic that seemed to reduce at seven weeks but then returned. The baby was also suffering from an overactive gastrointestinal and urinary tract that included increased frequency of bowel movements and increased urination. His colic issues were causing sleep issues as he would wake up crying in pain.

Chiropractic care was begun on the boy with specific modifications for his size and youth. Dietary recommendations were also given to the mother. By the fourth visit, it was reported that the baby boy was improving and was crying and screaming less. His sleep patterns had not yet improved at that point.

Over the next several visits, the boy continued to improve and was “doing great” according to his parents. The boy returned to normal and did not have a return of his colic or any other problems.

In their conclusion the author wrote, “This case study reports on the successful resolution of colic following the introduction of chiropractic care to reduce subluxations in a three-month-old infant.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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Infant Diagnosed with Failure to Thrive Helped with Chiropractic

The December 17, 2015, issue of the Journal of Pediatric, Maternal & Family Health published a study documenting the case of an infant who was medically diagnosed with failure to thrive being helped with chiropractic.

Infant Diagnosed with Failure to Thrive Helped with Chiropractic - Austin TX Pediatric Chiropractor Kids Babies ChildrenThe authors of the study describe failure to thrive (FTT) as infants who cannot maintain growth or have inadequate growth. The condition is fairly common affecting approximately 3-10% of children attending care in a hospital setting and 5-10% of children attended to in a primary care setting.

This may be due to disease, or not enough calories in the infant’s diet or even an infant that burns too many calories. The study reports that 80% of all cases have no known underlying medical conditions for the FTT. Because of the lack of clear medical treatment, the study reports that many parents turn to alternatives such as chiropractic, in these situations.

In this case, a 5-month-old infant girl with a medical diagnosis of “failure to thrive” was brought to the chiropractor. The infant girl was also suffering with inconsolable crying, chronic diarrhea, and was dangerously underweight.

The infant’s mother reported that her daughter’s problems began at the age of two months when she was brought to the pediatrician for a stomach virus, oral thrush, and loose green stools. Medication was prescribed but was ineffective as the infant continued to suffer from green-colored diarrhea and weight loss for the next six weeks.

The problem worsened to the point that the medical recommendation to the infant’s mother was surgical insertion of feeding tubes into her child’s stomach. It was at this point that the mother decided to try chiropractic for her daughter.

A chiropractic examination revealed the presence of subluxations in the infant’s upper neck. Subluxations can cause interference to normal nerve function and have an effect on overall physiology. Chiropractic adjustments were begun to correct the subluxations and restore normal nerve function.

After the the infant’s first chiropractic adjustment, her mother noted that her daughter slept several hours continuously, without waking up and crying. After the third adjustment, the child stopped the daily screaming, and her stools started to return to normal. After one week of care, the child had gained 2 oz. Each successive week, the child’s rate of weight gain continued to increase until the child had returned to a normal weight. A five year follow-up showed that the child was normal, in good heath, and properly developed for her age.

In their conclusion, the authors wrote, ” This case report provides supporting evidence on the effectiveness of chiropractic care in infants with a failure to thrive. We encourage further research and theoretical development on this approach to patient care via the detection and removal of spinal subluxation.”

If you or anyone you know could benefit from a better functioning nervous system, please call us at 512-452-2525 to schedule a consultation with Dr. Swanson.


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