As a chiropractor who has been treating pregnant women for many years, I’ve seen firsthand how chiropractic care provides significant relief during pregnancy.

Many expectant mothers experience discomfort as their bodies change to accommodate their growing babies.

Today, I’m walking you through exactly what happens at our clinic during a chiropractic adjustment while pregnant.

Watch the full demonstration in the video below, or continue reading for a detailed explanation of each step.

Specialized Equipment for Pregnant Patients

One of the first things you’ll notice in our clinic is that we use specialized equipment designed specifically for pregnant women.

Starting with the pillow we use, you’ll see that there’s actually a hole in here for the belly. So when mom lies on the table her belly will go right into that, which allows her to lay face down comfortably.

Close up of a specialized pillow for pregnancy chiropractor adjustments

This specialized pregnancy pillow is a game-changer for many expectant mothers who haven’t been able to lie comfortably on their stomachs for months.

Our prenatal chiropractors also adjust different parts of the table to ensure you’re completely comfortable throughout the entire process.

Understanding the Adjustment Table

Before beginning any adjustment, I always explain how the tables work, especially for first-time patients who could be caught off-guard or startled by the sounds.

When we do an adjustment in our clinic, we use tables that have a drop. They go up and down, and they actually make a lot of noise, but you’ll notice the movement and see how it benefits the chiropractic adjustment itself.

This drop-table technique is especially beneficial during pregnancy as it allows for effective adjustments with much less force than traditional techniques.

Full view of the chiropractic adjustment table ready for a pregnant patient.

During your chiropractic adjustment, we’ll press certain parts of the table and other times we’ll hold pressure or glide with our fingers.

Initial Assessment: Understanding Your Body’s Needs

Every chiropractic session begins with a thorough assessment to understand exactly what your body needs that day.

A lot of the analysis we do is for the pelvis. During this phase, I check the alignment and mobility of your pelvis, which often shifts during pregnancy due to hormonal changes and the increasing weight of your baby.

One simple test involves gently pushing both feet forward to check for equality in movement and resistance.

A chiropractor shows step 1 of a prenatal chiropractic adjustment, moving heels towards the buttocks.

We push both feet forward and if they’re not equal — as in one goes further or gives more resistance — this starts to give us some information about what’s going on in your pelvis.

Tailbone and Hip Examination

The next area I examine is the tailbone (coccyx) and surrounding structures.

This area can become particularly sensitive during pregnancy as the ligaments loosen in preparation for childbirth.

A chiropractor performs Step 2 of a pregnancy chiropractic adjustment, at the hips

Following the tailbone assessment, I focus on the hip muscles, which often become tight from compensating for your changing centre of gravity.

For that, usually we hold some pressure, sometimes use the table there as well.

Checking the Pubic Bone and Round Ligament

Two areas that require special attention during pregnancy are your pubic bone and the round ligament.

We always check the pubic bone, which is an area that’s very sensitive in pregnancy. There’s a lot of pressure built on there.

The pubic symphysis joint can become unstable during pregnancy due to hormonal changes that relax the ligaments in preparation for childbirth. Many women suffer with pubic symphysis dysfunction and feel the pain there.

Ottawa chiropractor Dr. Emilie Perras performs Step 3 of a chiropractic adjustment while pregnant, the pubic bone.

Finally, we check one of the ligaments, the round ligament, and that’s how we check for tension in pregnancy.

The round ligament supports your uterus and stretches as the baby grows. When it becomes too tight, it can cause sharp, pulling pains on one or both sides of the abdomen.

The Adjustment Process

Based on the findings from my assessment, I then perform specific adjustments tailored to your needs. These might include:

  1. Sacroiliac joint adjustments – to realign the pelvis and reduce pressure
  2. Pubic symphysis adjustments – to balance the pubic joint and reduce pain
  3. Hip and lower back adjustments – to improve mobility and reduce muscle tension
  4. Round ligament technique – to reduce tension and discomfort

As a result, the corrections are made as comfortably as possible – one of the many benefits of an adjustment during pregnancy.

Why These Adjustments Matter During Pregnancy

Maintaining proper pelvic alignment during pregnancy has several benefits:

  • Reduces back, hip, and pelvic pain
  • Creates more space for your baby to grow and move
  • May help baby achieve optimal positioning for birth
  • Improves your mobility and comfort in daily activities

What to Expect After Your Adjustment

After your adjustment, you might experience:

  • Immediate relief from pain or discomfort
  • Improved mobility
  • Better sleep quality
  • A sense of lightness or ease in movement

Some women also report that their babies become more active after an adjustment, likely because the increased space allows for more movement.

Is Chiropractic Care Safe Throughout Pregnancy?

Chiropractic care is generally considered safe throughout all stages of pregnancy when performed by a qualified prenatal chiropractor. 

At Oaktree Chiropractic & Acupuncture, we have certifications in prenatal chiropractic care, including the Webster Technique specifically designed for pregnant women.

Schedule Your Prenatal Chiropractic Assessment

If you’re experiencing discomfort during your pregnancy, or simply want to maintain optimal pelvic alignment for you and your baby, I invite you to book a consultation with us at Oaktree Chiropractic & Acupuncture.

Dr. Emilie Perras, chiropractor at Oaktree Chiropractic in Downtown Ottawa

Written by: Dr. Emilie Perras, D.C.

Dr. Emilie Perras D.C. is a co-founder and chiropractor at Oaktree Chiropractic & Acupuncture in Downtown Ottawa, Ontario, Canada. With 17 years of experience in chiropractic, she particularly enjoys seeing prenatal and paediatric patients.

Dr. Emilie attended university in Ottawa and went on to study at the Canadian Memorial Chiropractic College,  graduating summa cum laude on the dean’s honours list. Her postgraduate studies include a certification from the Academy of Family Practice and Council on Chiropractic Pediatrics. She is a registered chiropractor and member of the College of Chiropractors of Ontario.

When she isn’t helping patients, Dr. Emilie is with her husband Martin and their three children: Ori, Ani and Nico. She loves to read and is crazy about chocolate.

See Dr. Perras’ full credentials and experience >>

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