CASE SERIES
Improvement in Quality of Life for Six Pregnant Patients Undergoing Chiropractic Care: The Promise of PROMIS
Journal of Pediatric, Maternal & Family Health - Chiropractic ~ Volume 2013 ~ Issue 1 ~ Pages 11-14
Abstract
Introduction: The use of health-related quality of life (HRQoL) measures in chiropractic pregnant patients remains virtually non-existent. In this paper pregnant patients are characterized showcasing the use of the NIH PROMIS program to determine baseline HRQoL measures.
Methods: In addition to describing sociodemographic and clinical data, patient-centered outcomes measures utilizing the PROMIS-29 Profile V1.0 are demonstrated.
Results: Six pregnant patients (average age=33.33 years) with average parity at 0.33 and mean gestation of 20 weeks are described. Their primary caregivers were obstetrician/gynecologists, nurse-midwives and midwives. All were aware of concurrent chiropractic care. The patients presented with NMS complaints and for wellness care. The PROMIS scoring demonstrated the dynamic nature of the HRQoL domains in pregnant patients with improvements (i.e., fear/anxiety, pain interference and satisfaction with social roles) and decrements (i.e., physical functioning and sleep disturbance) in HRQoL domains.
Discussion: Evidence-informed practice expects that some aspect of chiropractic patients’ HRQoL measures will have demonstrable improvements. The use of PROMIS within a chiropractic Practice Based Research Network (PBRN) offers promise in this regard.
Conclusion: Pregnant patients attending chiropractic care within a PBRN are characterized using PROMIS HRQoL measures. The use of valid outcome measures to demonstrate chiropractic effectiveness should be further implemented in research and practice.
Keywords: Chiropractic, Practice Based Research Network, pregnancy, Health-related quality of life, PROMIS


Sensory processing disorder is a neurodevelopment disorder in which the person has problems processing sensory information. Normal touch, sound, and movement can cause extreme stress, and the 3-year-old boy’s symptoms included head banging, lack of pain response, hiding under the crib or in a corner, rubbing himself against the wall, and chewing holes in his clothes.
Colic in babies has classic symptoms of crying for more than 3 hours a day, usually at the same time each day, and for at least 3 days a week. Infants may have a hard abdomen, burp and pass gas a lot, spit up frequently after eating, and cry while pulling their legs up and making tight fists. The crying sounds as if the baby is in pain.
The 35-year-old pregnant woman was in the 30th week of her pregnancy. The woman’s doula (a labor coach or midwife) established that the fetus was in breech position. The woman was in good health and had been receiving chiropractic care for headaches and low back pain with good results for the previous two years. This was the woman’s second pregnancy, with her first child delivered vaginally.
Low back pain is a common symptom during pregnancy. Between 50 to 80 percent of pregnant women report low back pain during pregnancy because of hormonal, postural, and structural adjustments to the body. Chiropractic care for low back pain during pregnancy is safe and effective according to previously published studies and reviews.



