Breech babies and the Webster Technique

*Although my focus for this blog has been devoted to back pain and discomfort of pregnancy, I have received a number of questions about the Webster Technique and breech babies. To answer all of your questions most effectively I am going to dedicate this post to that topic.

Why is a breech baby a problem?

Did you know that MOST breech babies are delivered by c-section? Did you also know that the national c-section rate is over 30%? That means one in every three women who are pregnant will have a c-section. Is that OK with you? It shouldn't be.
Here's why I say that. . .

• A woman is five to seven times more likely to die from a cesarean delivery than from a vaginal delivery.
• A woman having a repeat C-section is twice as likely to die during delivery.
• Twice as many women require rehospitalization after a C-section than after a vaginal birth.
• Having a C-section means higher rates of infertility, ectopic pregnancy, and potentially severe placental problems in future pregnancies.
• Babies born after an elective cesarean delivery (i.e., when labor has not yet begun) are four times more likely to develop persistent pulmonary hypertension, a potentially life-threatening condition.
• Between one and two babies of every hundred delivered by C-section will be accidentally cut during the surgery.
• The US is tied for second-to-last place with Hungary, Malta, Poland, and Slovakia for neonatal mortality in the industrialized world.
• Babies born via C-section are at high risk for not receiving the benefits of breastfeeding.
• The risk of death to a newborn delivered by C-section to a low-risk woman is 1.77 deaths to 1,000 live births.
• The risk of death to a newborn delivered vaginally to a low-risk woman is only 0.62 per 1,000 live births.

"Cesarean Birth in a Culture of Fear" By Wendy Ponte
Mothering Magazine Issue 144, September/October 2007

What can be done about breech presentation?

Unfortunately, there is not a foolproof method to prevent or correct a breech position, but armed with a little information you can greatly reduce your risk of Cesarean section.

• The Journal of Manipulative and Physiological Therapeutics reported in the July/August 2002 issue that mother's with a breech baby should begin chiropractic care at least by the 8th month (as the baby is unlikely to turn on its own after this time.)
• The Webster Technique was effective in 82% of women in the same study.
• Currently, the International Chiropractic Pediatric Association recommends that women receive chiropractic care throughout pregnancy to establish pelvic balance and optimize the room a baby has for development throughout pregnancy. With a balanced pelvis, babies have a greater chance of moving into the correct position for birth, and the crisis and worry associated with breech and posterior presentations may be avoided altogether. Optimal baby positioning at the time of birth also eliminates the potential for dystocia (difficult labor) and therefore results in easier and safer deliveries for both the mother and baby.

I hope this little bit of information is helpful in understanding breech presentation and why chiropractic care is important. To learn more about the Webster Technique see my previous post "Can You Turn Breech Babies?" For more information about my practice and my successes with the Webster Technique visit my website at Keystone Chiropractic.

Sciatica: A Real Pain In The Backside!

Sciatica is another constant companion of many a pregnant woman. Like indigestion, edema, and constant urination, sciatica tends to show up in the 2nd trimester. And like its companions it tends to stick around until the baby is born. The good news is that sciatica can be sent on its way rather quickly and leave you alone to deal with the indigestion, edema, and constant urination.

What is sciatica?

Sciatica is an often misused term. Many people say they have sciatica if they have any lower back pain. However, sciatica occurs when the sciatic nerve (the largest nerve in the body and the one that innervates the majority of the lower body) becomes pinched or irritated.

Sciatic pain follows a particular path from the lower back or hips and runs down the leg generally ending near the knee. Sciatic pain is often described as a burning pain or a pins and needles sensation. Numbness and tingling can occur as well. Sciatic pain makes it incredibly painful for a person to sit, stand, bend, or really do anything other than lay on their back.


Why is sciatica so often associated with pregnancy?

Sciatica in pregnancy is common for 2 reasons.

Hormones: Our good friend relaxin is just doing his job and is allowing the pelvis to become hyper-mobile. (Read previous post on relaxin.) Unfortunately the sciatic nerve is attached in the pelvis and becomes irritated with all the unaccustomed movement.

Structure: As the baby grows, the uterus grows and puts pressure on the sciatic nerves and its surroundings. This weight is pulled forward, which increases the arch of the back and can lead to pressure on the sciatic nerve.

What can be done to ease the pain?

Sciatica can cause even the toughest to break into tears. It can be debilitating and miserable, but it doesn't have to last. Although it is tempting to stay in bed, not moving a muscle and praying to feel better, recent studies have shown that this is ineffective and can actually prolong the agony.
Getting up and moving while painful, will ultimately help the sciatic nerve.

Home remedies:

• An ice pack applied for 10 minutes to the low back can help and is safe for pregnancy.
• Sleep or lie down on your side with a pillow between your legs and one in the small of your back.
• Try to stand as straight as possible and sit up straight.
• Avoid standing or sitting for extended periods of time.
• No heavy lifting.
  

Outside help:

• Chiropractic is one of the best and safest treatments for sciatica. Using a gentle, low-force adjustment a chiropractor can free the sciatic nerve and allow normal impulses to return. A majority of women feel relief after the first treatment, and all but the rarest case are feeling fine by the 2nd or 3rd visit.

• Some women find that acupuncture can really relieve the pain. It is believed to be safe for the baby and effective. Although it is great for pain relief, it does not correct the underlying structural problems causing sciatica, and it will return.

So, all you sciatica sufferers, get moving. Help your amazing body do its job without hurting you!

Can you turn breech babies?

Recently I have been getting the same question over and over . . . .
"Dr. Richards can you turn a breech baby?" Because this question comes up with alarming frequency I thought I would address it here. (Although this is not strictly a back pain related topic.)

First of all chiropractors do not and should not "turn babies". Turning a baby is a terribly painful and brutal practice. While some OBs may try to turn a baby, it is generally not successful and carries inherent risks, such as rupture of the placenta, injury to the baby, and early labor.
Once again, chiropractors do not turn babies.

Some of the confusion may lie in the fact that chiropractors often use a technique called the Webster Technique which was once known as the "Webster's Breech Turning Technique" due to the high frequency of babies turning following the technique.

What is the Webster Technique and how does it work?

The Webster Technique corrects intrauterine constraint, which occurs when the proper shape of the uterus in constricted due to tight ligaments, rotated sacrum, or other external forces. When intrauterine constraint is present it can keep the fetus from attaining the proper head-down birthing position, which leads most often to a cesarean section. In fact 13% of all cesarean sections in the US are due to breech positioning.

Performance of the Webster Technique begins by analysis of the relationship of the bones of the pelvis. Upon finding a restriction, a light force chiropractic adjustment of the sacrum corrects the restriction. The chiropractor will then analyze abdominal muscle tension or spasm and work to relax this tightening.

Does the Webster Technique work?

The Journal of Manipulative and Physiological Therapeutics reported in the July/August 2002 issue an 82% success rate of babies turning head down when doctors of chiropractic used the Webster Technique. Further, the results from the study suggest that it may be beneficial to perform the Webster Technique as early as the 8th month of pregnancy when a woman has a breech presentation.

To summarize, if you have a breech baby and are concerned about the possibility of a cesarean, the Webster Technique is a safe and effective treatment. To find a chiropractor near you who is certified in the Webster Technique follow this link.