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Response to Osteopathic Manipulative Treatment in a Newborn with Breastfeeding Difficulties: A Case Report

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 19. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

breastfeeding [31]
case report [701]
cranium [81]
female [577]
newborn [71]
OMT [3695]
osteopathic manipulative treatment [3717]
pediatrics [513]
plagiocephaly [52]
women [532]

Abstract:

Introduction/Background: The forces of labor on infants may induce dysfunctions that interfere with their ability to thrive. The Centers for Disease Control (CDC) recommends exclusively breastfeeding for 6 months. However, according to their database, in 2020, 20.8 % of breastfed infants were supplemented with infant formula before 2 days of life. A factor that influences breastfeeding includes latch disorders. The use of OMT following delivery may improve the number of successful breastfeeding infants at 2 days of life, although there is little research on OMT and latch disorders. Case: A 1-day-old female presented with fussiness, a painful latch, and nursing sessions lasting 5 minutes. The patient was born weighing 8 lbs following an unmedicated, spontaneous vaginal delivery with occiput anterior presentation. Osteopathic structural exam revealed plagiocephaly, overlapping parietal bones, right occipitomastoid suture compression, right SBS torsion, and diminished CRI amplitude with an elevated rate of 16. Treatment included cranial membranous release and frontal lift, followed by sutural release with direct distraction of the overlapped parietal bones. Results: Following treatment, the plagiocephaly and compressed suture were improved, and cranial amplitude was restored with a rate of 11. One week after treatment, the infant had a painless latch, weighed 8 lbs 3oz, and increased nursing sessions to 10-15 minutes in length. This suggests that the patient’s cranial dysfunctions may have contributed to her difficulties breastfeeding. Discussion: This study suggests that the use of OMT can be effective in treating latch difficulties related to cranial dysfunctions following vaginal delivery. This may improve the number of successful breastfeeding infants. A limitation of the study was the need for more objective measurements to assess cranial plagiocephaly before and after treatment.


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