CONTRIBUTION OF CHIROPRACTIC THERAPY TO RESOLVING SUBOPTIMAL BREASTFEEDING: A CASE SERIES OF 114 INFANTS
Joyce E. Miller, DC, a Laura Miller, b Ann-Kristin Sulesund, b and Andriy Yevtushenkob
Objective: The purpose of this study was to describe the circumstances, clinical features, role, and results of chiropractic management of infants who were referred to a chiropractic clinic for failure to adequately feed at the breast.
Methods: Clinical case series of 114 infant cases of hospital-diagnosed or lactation consultant diagnosed feeding problems that were treated with chiropractic therapy in addition to routine care and followed to short-term result.
Results: The most common age of referral was 1 week (mean, 3 weeks; range, 2 days-12 weeks), and the most common physical findings were cervical posterior joint dysfunction (89%), temporomandibular joint imbalance (36%), and inadequate suck reflex (34%). Treatment was chiropractic therapy in addition to any support given elsewhere. All children showed some improvement with 78% (N = 89) being able to exclusively breast feed after 2 to 5 treatments within a 2-week time period.
Conclusion: Cooperative multidisciplinary care to support breastfeeding was demonstrated in this population. Chiropractic treatment may be a useful adjunct to routine care given by other professionals in cases of diagnosed breastfeeding problems with a biomechanical component.
(J Manipulative Physiol Ther 2009;32:670-674)
Key Indexing Terms: Pediatrics; Infant; Breast Feeding; Manual Therapy; Chiropractic