Q&A Can you adjust a patient with Placenta Previa?

Dr. A.W.:  Good afternoon! …I am currently enrolled in your prenatal course.

Dr. Karen: AWESOME!!!  
Dr. A.W.: I’ve really been enjoying the information you have provided. 

Dr. Karen:Great! Thanks for sharing that!!  

Dr. A.W.: I had a quick question about adjusting contraindications for pregnant women.  Do you feel placenta previa is an absolute or a relative contraindication to the chiropractic adjustment?
 Dr. Karen: It really is a case  by case basis. For example. is it a complete or partial previa; is there active bleeding; are they on bed rest, etc.    
Dr. A.W.:If you feel it is safe to adjust, what kind of adaptations do you make, additional questions at each visit do you have for the mother? 

Dr. Karen: Adjusting ANY pregnant woman should NEVER include twisting of the abdomen or pelvis, so the same is true here. In these cases, I only use an instrument and SOT blocking to adjust. Both are extremely effective low force techniques that are not contraindicated.   I also get a letter from their primary care giver (OB or Midwife) that they are clear for low force chiropractic care to keep in their file and I DOCUMENT EVERYTHING!  By the way, there have been cases in my office and offices around the world, where the previa reduces; meaning that the placenta moves away from the cervix. With proper pelvic alignment – anything is possible!  

Dr. A.W.:Also, do you have any experience with taping and the pregnant woman?


Dr. Karen: I personally, do not do this. I do now docs who do and swear by it.   
Dr. A.W.:I have seen some taping strategies used for women during pregnancy, used some on patients, and had it applied to me during my pregnancies.  I was wondering if you have heard of any adverse events from taping the abdomen like during a pregnancy belt or diaphragm taping.  I can’t find any literature on the topic except that their skin is more sensitive.

Dr. Karen: Sorry, I am unaware of anything. Maybe if I share this with my other groups, pages and blog someone reading it will have some insight.  

Dr. A.W.:Thank you so much for your help!

Dr. Karen: My pleasure! 
Dr. A.W.: I’m hoping to get the course finished in the next month! 

Dr. Karen:I LOVE your ambition! You go!



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Dr. Karen, just wanted to say wow…I’ve learned so much and I’m only into the 2nd module. This is the stuff we need to know in everyday practice! I could listen to you all day long!        ~ Dr. Katie Gelesko Stull

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