Abstract
BackgroundChiropractors regularly treat pregnant patients for low back pain during their pregnancy. An increasing amount of literature on this topic supports this form of treatment; however the experience of the pregnant patient with low back pain and their chiropractor has not yet been explored. The objective of this study is to explore the experience of chiropractic treatment for pregnant women with low back pain, and their chiropractors.MethodsThis qualitative study employed semi-structured interviews of pregnant patients in their second or third trimester, with low back pain during their pregnancy, and their treating chiropractors in separate interviews. Participants consisted of 11 patients and 12 chiropractors. The interviews consisted of 10 open-ended questions for patients, and eight open-ended questions for chiropractors, asking about their treatment experience or impressions of treating pregnant patients with LBP, respectively. All interviews were audio-recorded, transcribed verbatim, and reviewed independently by the investigators to develop codes, super-codes and themes. Thematic saturation was reached after the eleventh chiropractor and ninth patient interviews. All interviews were analyzed using the qualitative analysis software N-Vivo 9.ResultsFive themes emerged out of the chiropractor and patient interviews. The themes consisted of Treatment and Effectiveness; Chiropractor-Patient Communication; Pregnant Patient Presentation and the Chiropractic Approach to Pregnancy Care; Safety Considerations; and Self-Care.ConclusionsChiropractors approach pregnant patients with low back pain from a patient-centered standpoint, and the pregnant patients interviewed in this study who sought chiropractic care appeared to find this approach helpful for managing their back pain symptoms.
Highlights
Chiropractors regularly treat pregnant patients for low back pain during their pregnancy
Most of them indicated that they saw positive results in their pregnant patients, for instance: (DC02) “their symptoms seem to improve with the treatment, and objectively I find that the joint restrictions improve as well.”
Our study was aimed at two subgroups that have not been explored together previously using qualitative research methods, it provides new information that can contribute to the current literature on pregnancy and chiropractic treatment
Summary
Chiropractors regularly treat pregnant patients for low back pain during their pregnancy. An increasing amount of literature on this topic supports this form of treatment; the experience of the pregnant patient with low back pain and their chiropractor has not yet been explored. The objective of this study is to explore the experience of chiropractic treatment for pregnant women with low back pain, and their chiropractors. The qualities of the care provided by the treating chiropractor and that received by the pregnant patient may impact the outcomes of chiropractic care for women with LBP during pregnancy. The objective of this study was to explore the experience of chiropractic treatment for pregnant women who have LBP, as well as their chiropractors in providing care for such patients
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