Pelvic alignment encompasses not only the bones of your pelvis but also the muscles and ligaments within and surrounding it. These external muscles and ligaments determine the orientation and flexibility of the pelvic bones and joints, which can affect the width of the birth canal. 

Additionally, the soft tissues inside the pelvis, including the walls of the birth canal and the position of the uterus, can be influenced by pelvic alignment

When pelvic alignment is poor, several complications can arise, such as:

• Asymmetry in the ligaments connecting the uterus to the pelvis, leading to a leaning uterus. 
• Tightness in the pelvic floor muscles on one side. 
• Asymmetrical orientation of the pelvic bones.

These factors can have significant implications for pregnancy and childbirth. During labour, the uterus contracts and pushes the baby down toward the cervix and the exit of the mother’s pelvis. If the pelvis is misaligned, it may not effectively expand to accommodate the descending baby, resulting in inadequate pressure on the cervix and less efficient uterine contractions.

Consequently, poor pelvic alignment can lead to:

• Prolonged descent of the baby during labour. 
• “Failure to progress” as the cervix takes longer to dilate. 
• Posterior labour, with the baby’s spine against the mother’s spine, causing increased pain and further delays. 
• Unfavourable positioning of the baby, including breech presentation. 
• Increased risks of interventions, such as induction drugs, pain relief, suction, forceps, episiotomies, and a higher likelihood of requiring a caesarean section.

What can Chiropractic do?

To achieve optimal pelvic alignment during pregnancy, consider seeking chiropractic care tailored specifically for pregnancy. Unlike traditional chiropractic methods, pregnancy-focused chiropractors use gentle techniques and take into account the increased joint mobility caused by the hormone relaxin. They assess the muscles, ligaments, joint alignment, and flexibility, providing personalized treatment to restore the pelvis to its most functional, symmetrical, and flexible state. 

By addressing pelvic alignment, you not only enhance your chances of a successful vaginal birth but also mitigate pain, discomfort, nerve-related issues (like sciatica), and promote post-birth recovery. Additionally, working with a midwife or doula trained in optimal maternal positioning or techniques like Spinning Babies can further optimize your chances of a natural labour. They can provide support during labour and guide your partner in performing stretches and releases if progress stalls. 

Remember, prioritising pelvic alignment can have a positive impact on your birth experience, helping you and your baby navigate this transformative journey with greater ease and comfort.