Sources were cross- referenced to obtain further articles and research information after reviewing the articles obtained through the search. Results. Thirty- three references were used for this review. The current literature reports favorable results on the use of chiropractic care throughout pregnancy. Conclusions. Chiropractic evaluation and treatment during pregnancy may be considered a safe and effective means of treating common musculoskeletal symptoms that affect pregnant patients. The scarcity of published literature warrants further research. Introduction. Chiropractic care has typically included the care of pregnant patients to assure the patient a comfortable pregnancy and to help facilitate an uncomplicated labor and delivery. The literature describing the rationale for characteristics of care for this group of patients is sparse but growing. A few conducted studies support the care of pregnant patients, but the paucity of definitive literature has resulted in a lack of consensus in approaches to chiropractic care within the profession. This article provides a narrative review of the use of chiropractic care for women during pregnancy and labor in an attempt to summarize the chiropractor's role in the comanagement of the pregnant patient. Methods. A search of relevant articles published in the English language was conducted using a Pub. Med (1. 98. 7- 2. Medical subject headings used were the terms pregnancy and chiropractic. Key phrases searched were low back pain in pregnancy and Webster Technique. Bibliographies of all pertinent articles, after reviewing the current research articles obtained through this search, were then searched for additional references in older or non- indexed literature, and to obtain further articles and research information. In addition, standard chiropractic textbooks were searched for related citations. Thirty- three references were used for this review. Discussion. It has been reported that approximately 5. However, only 2. 1% of pregnant women with back pain seek consultation with their medical physicians. According to the 2. Job Analysis of Chiropractic, surveyed chiropractors reported that they rarely treat pregnant women. Cylinder & Slide Super Lite 1911.45 ACP Pistol The Super Lite.45 ACP is the ultimate 1911 carry pistol and represents ingenuity, skill and precision.However, of the pregnant population that the respondents did encounter in their practices, chiropractors reported that 7. In other research, a 2- part survey was mailed to 9. This survey reported that 3. Causes of low back pain during pregnancy. Structural adaptation in the gravid patient is a contributory source of low back pain throughout gestation. Spinal dysfunction related to changing load distributions within the motion segments of the lumbar spine and sacroiliac joints are also a factor in back pain. Traction, pressure or stretch of the adnexa, parietal peritoneum, bladder, urethra, rectum, and pelvic structures can also cause referred pain and secondary muscle spasm. Although the female sacrum has enough depth to enable fetal carriage, the displaced weight gain of 2. As the fetus develops during gestation, this weight is projected forward and the lumbar lordosis is increased, placing extra stress on the intervertebral disks and facet joints. Through compensation, the sagittal curvature of the remainder of the spinal column increases as well. The lumbar lordosis, designed to absorb some of the axial forces, loses integrity as a static support and may be a source of discogenic injury. In addition, the increase in circulating progesterone, estrogen, and relaxin throughout gestation, especially in the third trimester, brings about pelvic hypermobility and creates a decrease in spinal stabilization. Direct pressure of the fetus on the lumbosacral nerve roots may also be a cause of pain. Physically strenuous work and previous low back pain are factors that may also be associated with an increased risk of developing low back pain and sacroiliac dysfunction during pregnancy. All of these factors contribute to back pain experienced by the pregnant patient, leading some gravid patients to seek chiropractic care. Clinical studies on chiropractic care during pregnancy. Shaw. 10 reports the results of a chiropractic and medical collaborative study indicating that 7. In addition, a retrospective chart review of 4. The results of this survey support the hypothesis that back pain, pregnancy, and labor are associated, and emphasize the need for further studies. Findings indicated relief from back pain during the pregnancy in 8. The authors also noted that chiropractic manipulation may significantly decrease the incidence of “back labor.” The relative risk of experiencing back labor was almost 3 times greater if back pain was experienced during the pregnancy. It has also been reported that there may be a relationship between back pain throughout pregnancy and a longer duration of the labor and delivery process. A retrospective review of statistics reported that primigravida women who seek chiropractic care throughout gestation have, on average, a 2. Literature within the osteopathic profession also includes evidence of improved outcomes in labor and delivery for women who receive prenatal osteopathic manipulative treatment. Although the literature in the chiropractic profession dates back several decades, evidence of osteopathic manipulative treatment being used in pregnancy and labor is documented in the osteopathic profession back to the early 1. This database is an index to the death records of the state of Idaho for the years 1911-51. The purpose of this article is to review the literature on the topic of chiropractic care during pregnancy. Have a Facebook account? Become a fan of the Cherry Hill Public Library to stay on top of all the news and events happening here. A more recent retrospective case- control study using outcomes of meconium- stained amniotic fluid, preterm delivery, use of forceps, and cesarean delivery found a strong relationship between women receiving prenatal osteopathic manipulative treatment and a reduction of the occurrence of these outcomes of pregnancy, labor, and delivery, especially for meconium- stained amniotic fluid and preterm delivery. An increasing number of practitioners and obstetricians are realizing the benefits of manual therapy for their pregnant patients,1. Mechanisms of relief of low back pain during pregnancy. Low back pain is often described as an inevitable complication of pregnancy. Fascial constraint and spinal pelvic subluxation may be the cause of low back pain in pregnancy. As the growing uterus expands, it pulls the sacral base anterior, causing an anterior tilt of the pelvis and flexion of the hips. This orientation of the pelvis causes an increase in the lumbar lordosis, which increases the activity of the iliopsoas muscles. The piriformis muscle remains in a contracted state to maintain the external rotation of the legs, which compensates for a lack of balance as the center of gravity shifts as the pregnancy progresses. However, gentle myofascial relaxation of the piriformis and iliopsoas can greatly aide in the reduction of pain and tension. Also, improving the strength of the transversis abdominus muscle is thought to prevent some of the typical postural alterations that are seen in the third trimester that come with anterior pelvic tilt. Anterior translation of the cervical spine and extension of the occiput on the atlas can occur and be related to muscle spasms and suboccipital headaches to compensate for the laxity experienced as gestation progresses. Release of these spasms can be quite beneficial in alleviating continuous cephalgia. Also, exaggerated thoracic kyphosis, anterior translation of the head, and the increased weight of the breast tissue may cause cervicothoracic pain, thoracic outlet syndrome symptoms, or myofascial pain syndromes. The hormone relaxin is found circulating in greater quantities in a woman in her third trimester. In addition, a specific chiropractic adjustment called the Webster Technique has been reported by chiropractors who use it to correct potential musculoskeletal causes of intrauterine constraint. Intrauterine constraint is defined as any force external to the developing fetus that obstructs the normal movement of the fetus. The technique is focused particularly on women in the eighth month of pregnancy with breech presentation. To evaluate the Webster Technique, surveys were mailed to chiropractors of the International Chiropractic Pediatric Association, an organization that offers training in this specialized technique, and 8. The doctors reported that they found favorable results in relieving the constraints that may be contributory to the malposition of the fetus, and 9. These results are especially meaningful because 3% to 4. If uncorrected, many of these presentations require cesarean delivery. The highest acceptable limit, described by the World Health Organization in 1. United States was 1. The increase in rates of cesarean delivery should be of concern to those providing care to the pregnant patient, especially because chiropractic has been associated with a reduction of the number of cesarean deliveries. Although some fetuses in the breech position will convert before 3. The chiropractor's role in breech presentation is to balance the pelvis and corresponding muscles and ligaments to remove the constraint to the patient's uterus to allow the fetus to assume the correct presenting position. At no time does the chiropractor attempt to change the position of the fetus, as is done with external cephalic version; the chiropractor only attempts to correct a potential cause of intrauterine constraint. Apsley George Benet Cherry-Garrard (2 January 1886 –) was an English explorer of Antarctica. He was a member of the Terra Nova Expedition and is. The Large Blue Horses, 1911 Prints by Franz Marc - at AllPosters.com. Choose from over 500,000 Posters & Art Prints. Value Framing, Fast Delivery, 100% Satisfaction. So, now with appreciation to the Unionville Dispatch, we explore. Streator During Our Time. DOLLAR DAY IN STREATOR, 1953 It was August and Dollar Day was at. The authors of the International Chiropractic Pediatric Association survey have suggested that this technique be further investigated regarding its role in the care of this population. Evidence also exists that women who exercise during pregnancy have more energy, fewer mood swings, are able to manage stress more effectively, and achieve more restful sleep compared with sedentary pregnant women. Women who exercise gain 2. With their training, chiropractors can also help the pregnant patient manage an exercise routine compatible for her changing body throughout pregnancy. Safety of chiropractic care during pregnancy. A retrospective case series was performed to describe the results of chiropractic treatment offered to a sample of pregnant women. Cherry Hill Public Library . The new service allows access to area museums: Academy of Natural Sciences of Drexel University Admission for two adults and up to five children. Grounds for Sculpture. Admission for four people. Garden State Discovery Museum. Admission for six people Cherry Hill Library card holders, over the age of 1. Museum passes are available on a first come, first serve basis and no reserves will be approved at this time. For questions concerning availability or borrowing and returning please stop by or contact the reference department at 8. Special thanks to the Library Board of Trustees for sponsoring the Museum Pass Program. Art Gallery. The Library’s art collection, permanent and rotating, has become a popular feature and sets the Cherry Hill Public Library apart from other public buildings. The CHPL Art Gallery (located on the lower level) showcases artists from the amateur to those whose work is known worldwide. The gallery exhibit rotates monthly. If you are interested in featuring your art in the Library, please contact Katie Hardesty at 8. Return to top. Caf. Aramark, one of the world’s leading caterers, also provides catering services to groups that rent the library’s meeting rooms and can offer a variety of menus for your function. Return to top. Computers. CHPL is home to more than 9. By using your library card or visitor pass, patrons can sign on a library computer for up to four hours at a time. Return to top. Express PCEven with more than 9. To best serve the public, we created three . These computers are designated for visitors on the go who literally need to . The self- service fax machine accepts credit and debit cards only. Easy- to- follow directions, available on the fax machine and over the machine’s phone, make sending faxes simple and user friendly. When a fax reaches its destination, the machine prints a receipt confirming the fax’s status. Inventory is kept fresh and all proceeds benefit Library programs and activities. If you are interested in volunteering to work in the gift shop, please contact the library at 8. Return to top. Local History Room. Operated by a group of volunteers from the Cherry Hill Historical Commission, the Local History Room is located on the Library’s Lower Level. It is recommended that customers seeking Notary Service call the Library prior to their visit to ensure that a Notary is available at that time. Click here for the Library’s Notary Service Policy brochure. Return to top. Rapid Reads. Rapids Reads are current best sellers and other highly popular books that can be checked out for seven days at a time so that others may have access to them within a week. Rapid Reads are also available in large print and ensures that the latest books are available to patrons. Return to top. Self Check Out. Always in a hurry? Then CHPL's two Self Check Out stations are the solution - they are easy, quick and accurate. All you have to do is swipe their library card, touch the screen, grab your receipt and go! Return to top. Free Wi. Fi. CHPL is a totally wireless environment. Visitors may bring their own laptop or mobile devices, with wireless capabilities, and enjoy the convenience of going online. Wireless Internet at the Cherry Hill Library FAQReturn to top. Visitor Cards The library offers 1. Express PCs to the community for those who want to quickly check email or do not have a Cherry Hill Public Library card. In certain cases, one additional pass may be granted at the discretion of staff. Non- residents desiring more time on the computer may purchase a two hour Visitor's Pass for $3. Library Materials: (d) “Each library shall provide the public free access to the Internet all hours the library is open.”Return to top.
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