Formerly known as Webster’s “In-Utero Constraint Technique” or “Webster’s
Breech Turning Technique,” the Webster Technique was developed by Dr.
Webster in 1978. It has been highly successful in relieving intrauterine constraint and helping to convert breech presentations to cephalic presentation for more than 20 years.
What is intrauterine constraint? Intrauterine constraint is defined as any forces external to the developing fetus that obstructs the normal movement of the fetus. Intrauterine constraint can prevent the developing fetus from attaining a head down vertex position and achieving a vaginal birth, resulting in cesarean section delivery. Today, nearly 13% of all cesarean deliveries performed are due to breech presentation.
The importance of preventing intrauterine constraint and subsequent cesarean section delivery is apparent, considering in the United States approximately 22% of all births were cesarean section deliveries. In Canada the incidence of cesarean section ranges from 15%-22%, depending on the province. The Webster Technique is a chiropractic means of decreasing the number of caesareans for breech presentation.
Performance of the Webster Technique involves analysis of the relationship of the bones of the pelvis, and correction of aberrant biomechanics through the use of a light force chiropractic adjustment of the sacrum (Step 1). It also involves analysis and relief of specific abdominal muscle tension or spasm (Step 2). Both steps are intended to relieve the musculoskeletal causes of intrauterine constraint that may lead to cesarean section delivery.
It is important to stress at this time that the Webster Technique is not to be
misconstrued as the practice of obstetrics. The Webster Technique is a specific chiropractic technique intended to relieve a specific musculoskeletal
condition, and is well within the chiropractor’s scope of practice. At no time
does the chiropractor attempt to change the position of the fetus as is done in
external cephalic version (ECV). Untrained individuals should not attempt the
In addition, the Webster Technique should not be confused with other unproven or unsafe “chiropractic breech turning” techniques.
Growing awareness of the Webster Technique is demonstrating the increased demand for doctors of chiropractic trained to perform it. Because of its ability to facilitate easier, safer deliveries for both mother and baby, many birth care
providers are actively seeking doctors of chiropractic with the skills in this technique. – From The Chiropractic Journal