Chiropractic Care! How can it benefit the Moms-to-be?
As many new mothers can attest, the muscle strains of
pregnancy are very real and can be more than just a
nuisance. The average weight gain of 25 to 35 pounds,
combined with the increased stress placed on the body
by the baby, may result in severe discomfort. Studies
have found that about half of all expectant mothers will
develop low-back pain at some point during their pregnancies.
This is especially true during late pregnancy,
when the baby’s head presses down on a woman’s
back, legs and buttocks, irritating her sciatic nerve. And
for those who already suffer from low-back pain, the
problem can become even worse.
During pregnancy, a woman’s center of gravity almost
immediately begins to shift forward to the front of her
pelvis. Although a woman’s sacrum—or posterior section
of the pelvis—has enough depth to enable her to
carry a baby, the displaced weight still increases the
stress on her joints. As the baby grows in size, the
woman’s weight is projected even farther forward, and
the curvature of her lower back is increased, placing
extra stress on the spinal disks.
While these changes sound dramatic, pregnancy hormones
help loosen the ligaments attached to the pelvic
bones. But even these natural changes designed to
accommodate the growing baby can result in postural
imbalances.
The American Chiropractic Association recommends the
following tips for pregnant women:
Exercise
• Safe exercise during pregnancy can help strengthen
your muscles and prevent discomfort. Try exercising
at least three times a week, gently stretching before
and after exercise. If you weren’t active before your
pregnancy, check with your doctor before starting or
continuing any exercise program.
• Walking, swimming, and stationary cycling are relatively
safe cardiovascular exercises for pregnant
women because they do not require jerking or
bouncing movements. Jogging can be safe for
women who were avid runners before becoming
pregnant—if done carefully and under a doctor’s
supervision.
• Be sure to exercise in an area with secure footing to
minimize the likelihood of falls. Your heart rate
should not exceed 140 beats per minute during
exercise. Strenuous activity should last no more
than 15 minutes at a time.
• Stop your exercise immediately if you notice any
unusual symptoms, such as vaginal bleeding, dizziness,
nausea, weakness, blurred vision, increased
swelling, or heart palpitations.
Pregnancy Ergonomics
• Sleep on your side with a pillow between your knees
to take pressure off your lower back. Full-length
“body pillows” or “pregnancy wedges” may be helpful.
Lying on your left side allows unobstructed
blood flow and helps your kidneys flush waste from
your body.
• If you have to sit at a computer for long hours, make
your workstation ergonomically correct. Position the
computer monitor so the top of the screen is at or
below your eye level, and place your feet on a small
footrest to take pressure off your legs and feet. Take
periodic breaks every 30 minutes with a quick walk
around the office.
Nutrition
Eat small meals or snacks every four to five hours—
rather than the usual three large meals—to help keep
nausea or extreme hunger at bay. Snack on crackers
or yogurt—bland foods high in carbohydrates and protein.
Keep saltines in your desk drawer or purse to help
stave off waves of “morning sickness.” Supplementing
with at least 400 micrograms of folic acid a day before
and during pregnancy has been shown to decrease the
risk of neural tube birth defects, such as spina bifida.
Check with your doctor before taking any vitamin or
herbal supplement to make sure it’s safe for you and
the baby
Health and Safety
• Wear flat, sensible shoes. High or chunky heels can
exacerbate postural imbalances and make you less
steady on your feet, especially as your pregnancy
progresses.
• When picking up children, bend from the knees, not
the waist. And never turn your head when you lift.
Avoid picking up heavy objects, if possible.
• Get plenty of rest. Pamper yourself and ask for help
if you need it. Take a nap if you’re tired, or lie down
and elevate your feet for a few moments when you
need a break
How Can Chiropractic Help?
Before you become pregnant, your doctor of chiropractic
can detect any imbalances in the pelvis
or elsewhere in your body that could contribute to
pregnancy discomfort or possible neuromusculoskeletal
problems after childbirth.
Many pregnant women have found that chiropractic
adjustments provide relief from the increased
low-back pain brought on by pregnancy.
Chiropractic manipulation is safe for the pregnant
woman and her baby and can be especially
appealing to those who are trying to avoid medications
in treating their back pain. Doctors of chiropractic
can also offer nutrition, ergonomic, and
exercise advice to help a woman enjoy a healthy
pregnancy.
Chiropractic care can also help after childbirth. In
the eight weeks following labor and delivery, the
ligaments that loosened during pregnancy begin
to tighten. Ideally, joint problems brought on during
pregnancy from improper lifting or reaching
should be treated before the ligaments return to
their pre-pregnancy state to prevent further muscle
tension.
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