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Is chiropractic care safe during pregnancy?

Reviewed by Dr Voula Roumel, Chiropractor , registered since 1987, AHPRA CHI0000942872

Last updated

A chiropractor assessing the lower back of a pregnant woman seated on a treatment table

Pregnancy changes how the body carries load, and it does so quickly, weight shifts forward, the centre of gravity moves, ligaments soften under hormonal change, and the pelvis and lower back take the difference.

The question people ask is whether chiropractic is safe during that. The useful answer is that technique is adapted for pregnancy rather than being the same treatment applied to a pregnant patient, and understanding what “adapted” means is more informative than a yes or no.

What adapted actually means

Positioning. Mostly side-lying with support. The tables adjust to accommodate a growing abdomen. Nobody will ask you into a position that is uncomfortable, and if something does not feel right it changes, comfort in the moment is not a small consideration at 34 weeks.

Force. Lower-force technique, chosen for a body where ligaments are already more mobile than usual. See spinal adjustments for what low-force approaches involve.

The Webster Technique, where indicated, a specific assessment and adjustment of the pelvis and its associated soft tissue. Dr Kenneth Taylor is certified in it, and midwives, obstetricians and other practitioners refer patients to him for it specifically.

Soft tissue work through the lower back, glutes and hips, which frequently does more than anything else late in a pregnancy.

What tends to come up

  • Pelvic and sacroiliac loading, commonly one-sided pain low down at the back
  • Pubic symphysis discomfort at the front, often worst rolling over in bed or getting out of a car
  • Lower back load as the pregnancy progresses. See lower back pain
  • Rib and upper back tightness later on, as the ribcage accommodates
  • Postnatal loads afterwards: feeding positions, carrying, and a body that spent nine months adapting

Tell the chiropractor before the assessment

Not after. Any complications, placenta praevia, pre-eclampsia, a history of preterm labour, bleeding, or anything your midwife or obstetrician is monitoring.

None of those automatically rules out care. They change what is appropriate, which is exactly why they are needed before rather than during.

What goes to your maternity care instead

Chiropractic care sits alongside your maternity care, not instead of it. Keep your midwife or obstetrician informed about what you are doing.

Go to them or to a hospital first for anything obstetric: bleeding, reduced fetal movement, severe headache with visual changes, regular contractions before term, or fluid loss. If you contact this clinic with any of those, you will be told the same thing and helped to get seen.

Booking

Tell reception you are pregnant and how far along, so you are matched to the right chiropractor. More detail on the pregnancy chiropractic page, and paediatric care covers children after the birth.

Frequently asked questions

Is chiropractic safe in pregnancy?

Technique is adapted for pregnancy rather than being the same treatment applied to a pregnant patient, side-lying positioning with support, tables that accommodate a growing abdomen, and lower-force approaches chosen for a body where ligaments are already more mobile. Tell the chiropractor about your pregnancy and any complications before your first appointment, and keep your midwife or obstetrician informed.

When can I start?

Any stage. Some patients come in the first trimester, many arrive in the second or third when the load changes noticeably, and some come afterwards for postnatal recovery. Tell reception you are pregnant and how far along when you book so you are matched to the right chiropractor.

How will I lie on the table?

Side-lying for most of it, with support, and the tables adjust to accommodate a growing abdomen. Nobody will ask you into a position that is uncomfortable. If something does not feel right, say so and it changes.

What is the Webster Technique?

A specific chiropractic assessment and adjustment of the pelvis and its associated soft tissue, used in pregnancy to address restriction and muscular tension in the pelvis. Dr Kenneth Taylor is certified in it, and midwives, obstetricians and other practitioners refer patients to him for it specifically.

What should I go to my midwife or hospital for instead?

Anything obstetric, bleeding, reduced fetal movement, severe headache with visual changes, regular contractions before term, or fluid loss. Those need maternity care now, not a chiropractic appointment. If you contact the clinic with any of them you will be told the same thing and helped to get seen.

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