Many chiropractors are frustrated that after pregnant patients deliver
their babies, they often fail to have them checked for vertebral
subluxation. The new moms' lives change so much following the birth that
sometimes they don't return for care either.
The newborn chiropractic examination is one of the most important
opportunities to uncover subluxations that may impede the child's nervous
system and compromise his or her ability to be healthy and reach full
potential.
We must do everything possible to inspire and educate the expectant mom
about the importance of having her newborn checked for vertebral
subluxation. Thus, the newborn can start on the road to good health and
well being with that first adjustment.
Strategies
After caring for hundreds of pregnant woman over the last 10 years, we
have developed a keen insight on the ways to increase the number of
newborns a chiropractor is able to help. Following are the "Top Seven
Strategies" we devised.
1. Start early, start early, and start early. If you wait until a
couple of weeks before the birth, the woman may feel pressured. This will
create some anxiety or friction in the doctor-patient relationship. The
best time to begin the process is in the first trimester.
2. As you've probably observed in your practice, patients discontinue
care at high rates when there's some type of interruption in their
schedule. The most common reasons are a vacation, missed visits, and a
birth. So, it's very important to let the expectant mom know that every
pregnant mom's favorite adjustment is her first postpartum adjustment.
Discuss all of the changes in her body during the three trimesters and
stress endured during labor and delivery. Emphasize how her body will jump
back to normal quicker with adjustments, and that she'll feel better.
We'll frequently motivate the new mom to get that first adjustment
within the first week after the birth, and we'll ask for her feelings on
the issue and get her commitment as well. When she comes back within the
first week, her chances of having herself and her newborn benefit from
regular care will skyrocket.
3. We educate the pregnant patient that the amount of force and trauma
to the newborn's neck, even under normal conditions, can be very damaging
and cause subluxations. As a result of this, the baby should be checked by
a chiropractor right away.
Share with expecting parents that the average force the newborn's neck
will be subjected to in the birth is approximately 40-70 pounds. Contrast
that to a few ounces, to a couple of pounds, of carefully directed
pressure to correct subluxations. The parents will relax and realize that
if the baby was born, it's safe for the newborn to get adjusted.
4. When you're educating the mom-to-be, it's important to not lecture
too much, or pressure her creating a combative situation. Pregnant
patients can be more sensitive with hormonal changes, so it's better to
open up dialogue with open-ended questions and be nonconfrontational. An
example of a good question is, "What kind of stresses do you think
your baby's neck will be exposed to during the birth?"
5. Consider helping the expectant mom create her birth plan. This will
give you an opportunity to help her sort out all of the choices she'll
have to make during her pregnancy and after the birth. You can also give a
group lecture where you can tout the benefits of chiropractic for the
newborn.
6. One of the best things to do is to introduce your expectant patients
to other woman in the practice who have children that have been getting
adjusted since birth. When they can hear the benefits from other real life
moms, it will give them the confidence to have their infants checked also.
Your existing patients will tell the pregnant patients how much
healthier their children are, and that they are so happy their children
don't have all the problems of subluxated children. Your staff can
facilitate this process between the patients.
7. Always offer to be present at the birth to adjust the mom during
delivery and also to check the newborn. This is a important service to
offer that will give new mother and baby a great beginning.
There are many ways to educate pregnant women about the importance of
having their newborns checked for subluxation. These seven strategies will
get you off to an excellent start.
Don't fall into the trap of assuming that pregnant patients want
their newborns adjusted simply because they have been good patients and
are nice people. They might not want that, and even if they do, husbands
are a "wild card" you frequently have to deal with.
The most important realization is to make sure you're aware of all the
possibilities and subtleties that go into accomplishing your mission of
helping more children.
(Drs. Theresa and Stuart Warner, whose New Jersey practice is comprised
of 60% children under seven, present 40 pediatric programs around the
world each year for chiropractic associations and colleges. The Warners
are the founders of "Kids Day America/International," and the
non-profit World Children's Wellness Foundation. Comments or questions
about issues raised in this column or regarding children's wellness and
chiropractic in general may be directed to Dr. Theresa Warner by phone at
732/295-5437; fax, 732/295-1166; or e-mail, info@chiropediatrics.com.)