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The characterisation and response to care of pregnant patients receiving chiropractic care within a practice-based research network

Chiropractic Journal of Australia
Volume 42 Issue 2 (Jun 2012)

Abstract: Objectives: To characterise the chiropractic care of pregnant patients in a practice-based research network (PBRN). Main Outcome Measures: Patient demographics (i.e., age, gender, level of education) and weeks of gestation, presenting complaints based on hierarchical designation of primary (1degrees), secondary (2degrees), and tertiary (3degrees) complaints, perceived effectiveness of care and the specific effects of care. Results: One hundred and twenty six pregnant patients participated in our PBRN survey. Their average age was 30.56 years and presented for chiropractic care at an average gestational age of 29.42 weeks. Approximately 25% of the patients indicated presenting for "wellness care." A total of 241 complaints were documented by the patient population and designated as 1degrees (N=118), 2degrees (N=91) and 3degrees (N=32). A majority of the specific complaints were musculoskeletal in nature with low back pain specific to the lumbar spine as the most common site. A majority of the patients reported a high perceived effectiveness in 98% of patients with 1degrees complaints, 97% of patients with 2degrees complaints and 100% of patients with 3degrees complaints. Response to specific effects of the chiropractic spinal manipulative therapy were categorized to 3 main domains as "decreased pain", "improved function and "other" due to heterogeneity of indicated responses. Conclusions: Pregnant patients present for chiropractic care for musculoskeletal complaints in addition to wellness care with high-perceived effectiveness. We support further research to examine the safety and effectiveness of this popular non-allopathic approach to women's health.

To cite this article: Alcantara, Joel; Ohm, Jeanne; Kunz, Kurt; Alcantara, Joey D and Alcantara, Junjoe. The characterisation and response to care of pregnant patients receiving chiropractic care within a practice-based research network [online]. Chiropractic Journal of Australia, Vol. 42, No. 2, Jun 2012: 60-67. Availability: <http://search.informit.com.au/documentSummary;dn=785127118674864;res=IELHEA> ISSN: 1036-0913. [cited 29 Apr 17].

Personal Author: Alcantara, Joel; Ohm, Jeanne; Kunz, Kurt; Alcantara, Joey D; Alcantara, Junjoe; Source: Chiropractic Journal of Australia, Vol. 42, No. 2, Jun 2012: 60-67 DOI: Document Type: Journal Article ISSN: 1036-0913 Subject: Pregnant women--Medical care; Chiropractic--Practice; Alternative medicine; Pregnant women--Health and hygiene; Peer Reviewed: Yes Affiliation: (1) Research Director, International Chiropractic Pediatric Association, Media, PA, USA; Adjunct Assistant Professor, Life Chiropractic College West, Hayward, CA,USA
(2) Executive Director, International Chiropractic Pediatric Association, Media, PA, USA
(3) Research Associate, International Chiropractic Pediatric Association, Media, PA, USA
(4) Private Practice of Chiropractic, Calgary, AB, Canada
(5) Private Practice of Chiropractic, San Jose, CA, USA

Database: Health Collection