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Efficacy of an osteopathic treatment for biomechanical suckling dysfunctions in newborn: A randomised controlled trial

Journal: Journal of Complementary and Integrative Medicine Date: 2016/10, 13(4):Pages: eA5-eA6. doi: Subito , type of study: randomized controlled trial

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2016-0102/html)

Keywords:

biomechanics [60]
breastfeeding [14]
female [399]
infants [149]
OMT [3102]
osteopathic manipulative treatment [3124]
pediatrics [387]
randomized controlled trial [766]
suckling dysfunction [1]
women [353]

Abstract:

Background: Despite well-known recommendations from national and international bodies including the World Health Organization (WHO), few mothers achieve the goal of breastfeeding exclusively for six months. According to previous studies, half of mothers stop breastfeeding due to biomechanical issues in the first month, despite increasing support from lactation consultants. Osteopaths worldwide work with these babies, but there is little empirical evidence for this type of treatment. Objectives: To determine the efficacy of an osteopathic treatment coupled with usual lactation consultations on infants’ ability to latch. Secondary objectives included assessment of nipple pain and mothers’ perceptions of the impact of treatment. Methods: We conducted a single blind, randomised controlled trial at a mother-to-mother support group between January and December 2015. Data was collected at four different times over a 10 day period (T0-T10) from 97 mother-infant dyads using the LATCH assessment tool, a Visual Analog Scale (VAS) for mother nipple pain, and a de novo questionnaire for breastfeeding management and potential treatment side effects. Results: There were consistent statistical and clinical differences in the mean LATCH scores between the treatment (T0= 7.65; T1=8.36 and T3= 9.22) and the control groups (T0= 7.63; T1=8.13 and T3= 8.18), p<0.001. Mothers reported no serious or unexpected side effects over the follow-up period. Conclusion: This study is one of the first to bring together lactation consultants and osteopaths to deal with infants with biomechanical suckling dysfunctions. Findings support the hypothesis that the addition of osteopathy to regular lactation consultations is beneficial and safe.


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