John Edwards Joel Alcantara


Objective: To describe the care of a 28-year-old pregnant patient


Clinical Features: A 32-year-old female with a prior history of failed in-vitro fertilization (IVF) began chiropractic care 2 weeks prior to her second implantation. Upon confirmation of a successful implantation of triplets, the patient elected to receive regular chiropractic care at twice per week for 2 weeks and then once per week for the next 16 weeks thereafter.


Intervention and Outcome:  The patient received care using Diversified Technique prior to a successful IVF implantation. Upon successful implantation, she received Logan Basic as her care protocol for 2 weeks followed by Webster Technique thereafter.  Despite at risk for a number of morbidities due to a triplet pregnancy and suffering from pregnancy related low back pain, lower extremity swelling and acid reflux, the patient was able to carry her pregnancy into her 3rd trimester with the babies born by Caesarean.  Patient satisfaction and quality of life as measured by the RAND VSQ9 and PROMIS-29 support the notion that chiropractic care was of benefit for this patient.


Conclusion: This case report provides supporting evidence on the benefits of chiropractic care throughout a triplet pregnancy.