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The impact of visceral osteopathic treatment on the meconium evacuation in very low birth weight infants

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2009/10, Pages: 80, type of study: randomized controlled trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2941)

Keywords:

infant [224]
meconium [5]
premature [18]
visceral osteopathy [55]
pediatrics [375]
WSO [433]
randomized controlled trial [710]

Abstract:

OBJECTIVE: To determine whether the complementary approach of manipulative osteopathic treatment accelerates complete meconium excretion and improves feeding tolerance in very low birth weight infants. METHODS: This study was a prospective, randomized, controlled trial in premature infants with a birth weight 1500 g and a gestational age 32 weeks who received a visceral osteopathic treatment algorithm 3 times during their first week of life or no treatment. RESULTS: Passage of last meconium occurred after a median of 7.5 days (95% confidence interval: 6–9 days, n = 20) in the intervention group and after 6 days (95% confidence interval: 5-9 days, n = 21) in the control group (p = 0.11). However, osteopathic treatment was associated with a 12 day longer time to full enteral feedings (p = 0.02), and a longer hospital stay (44 days longer in the intervention group; n.s). Osteopathic treatment was tolerated well and no adverse events were observed. CONCLUSIONS: Visceral osteopathic treatment oft the abdomen did not accelerate meconium excretion in VLBW-infants. However infants in the osteopathic group had a longer time to full enteral feedings and a longer hospital stay, represent adverse effects. Further investigations are needed with modified protocols focussed on cranial osteopathy in this vulnerable group of patients. Currently the application of visceral osteopathic techniques cannot be recommended in VLBW-infants without further clinical trials.


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