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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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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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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