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Osteopathic intervention for infants with breastfeeding difficulty: A retrospective case series
Journal article   Peer reviewed

Osteopathic intervention for infants with breastfeeding difficulty: A retrospective case series

Kirsty Greenwood, Roger Engel and Sandra Grace
International journal of osteopathic medicine, Vol.47, 100652
03/2023

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UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

Source: InCites

Abstract

Breastfeeding Infant feeding Musculoskeletal Osteopathic medicine Osteopathy
Background The importance of breastfeeding and its effect on reducing the burden of disease is recognised globally. The physical aspect of successful breastfeeding is multifactorial and requires maternal comfort and confidence and an infant's ability to latch and maintain intra-oral sucking functions. Infants need to have sufficient function of their musculoskeletal system to maintain positioning and attachment. Objectives The primary aim was to investigate the effect of osteopathic intervention on mothers and infants with breastfeeding difficulty. The secondary aim was to record the musculoskeletal dysfunctions found in those infants. Design A retrospective case series of de-identified patient files. Setting Osteopathic private practice. Methods A Breastfeeding Self-Efficacy Scale and Visual Analogue Scale for maternal pain while feeding, ability to latch, ability to maintain latch and noise while feeding were completed before and after osteopathic intervention. Participants Eighteen mother-infant-dyad files were retrospectively reviewed. Results Following an average of five osteopathic treatments over 7.4 weeks, all 18 mother-infant-dyads noted improvement in breastfeeding confidence and/or improvements in the ability to latch and maintain latch, maternal pain at the breast and infant noise while feeding. The greatest improvements were seen in the seven mother-infant dyads identified at risk of ceasing breastfeeding at baseline (p=<0.001). Conclusion This study provides evidence that osteopathic intervention may be capable of delivering benefits in breastfeeding confidence and function. Our results also indicate that osteopathic intervention may benefit mothers at risk of ceasing breastfeeding. Further research, including prospective clinical trials with a comparator group, is warranted.

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