Chiropractic Care for the Breastfeeding Baby

(Not Snap, Crackle, and Pop)

The mechanics of breastfeeding seem pretty straightforward, right? Baby, breast, suckling, milk, everyone’s happy. But did you know, in order to breastfeed, your baby coordinates the use of the 22 bones of their skull comprising 34 joints, along with 60 voluntary and involuntary muscles under the control of six of their 12 cranial nerves? Your baby needs to use all of these to learn to suck, swallow and breathe to get the milk needed to grow. With so many working parts, though, there are lots of places where the process can go wrong.
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Your Baby's Body

Birth itself can work against this process, even a natural birth with few interventions. Your baby’s body experiences all sorts of twists and turns to get from the womb to the outside world. Then take into account babies who are malpositioned in utero, whose mothers are immobile during labor, who need the assistance of vacuum or forceps for delivery, who are born by cesarean surgery, or who are vigorously suctioned after birth. Often we don’t connect these events with poor infant feeding, but we should.

Research

In a recent study, researchers looked specifically at how osteopathic care can help with breastfeeding difficulties. Researchers randomized 97 breastfeeding mother-baby pairs into two groups. Both groups received two visits with a board-certified lactation consultant as well as a consultation with an osteopathic physician. While one group received therapy from the osteopath, the other babies were given a sham/placebo therapy (to serve as the control group). The lactation consultant assessed the baby’s latch before and after the therapy, as well as 2 days later. The results show that babies' feeding improved better after the osteopathic therapy with no adverse effect noted, and mothers' pain was improved (at least initially). The best thing about this study is that it was a randomized controlled trial, which is the ‘gold standard’ in research. One of the biggest drawbacks, though, is that they looked at osteopathic manipulation only and did not include other modalities of care such as chiropractic or craniosacral therapy.

In a literature review, Frye gathers evidence supporting the use of bodywork therapies, such as chiropractic and osteopathic care, to resolve breastfeeding difficulties, from a poor latch and fussiness to nipple pain and breast refusal. She outlines case studies, case series, and a clinical trial, and concludes that “[l]imited evidence exists to support chiropractic treatment for infants with breastfeeding dysfunction” though cautions that further study is needed.

ICPA-certified Chiropractor, Dr. Stephanie Gessner, Milk Diva Chiropractic Care in Austin, TX explains, "A chiropractic adjustment on an infant is incredibly gentle! A pediatric chiropractor will only use the amount of pressure you would use to test the ripeness of tomato to gently adjust the area of the spine that needs correction."

What Kinds of Things Can Chiropractic Care Help?

Chiropractors believe bodywork can be effective in treating any of the following breastfeeding difficulties:

• Problems with latching, including nipple pain

• Babies who have difficulty coordinating their suck-swallow-breathe - these babies tend to be very slow feeders and don’t gain well

• Fussiness in certain breastfeeding positions and relative comfort in others

• Frequent feedings and seems to always be hungry, especially if accompanied by poor weight gain

• Problems feeding from a bottle as well as at the breast

• Baby is just fussy or colicky and seems uncomfortable most of the time

And What About You?

Are you experiencing some discomfort from the birth? Are you having milk supply problems? It might be worth seeing a chiropractor to treat your body, as well. Vallone (2007) shares case studies where low milk supply issues were resolved with chiropractic. Her theory is that nerve and hormone function can be disrupted when any vertebrae are misaligned, and this can impact the breasts.

Is it Safe?

Every parent worries about safety when investigating therapies for their child, whether it’s an over-the-counter medication or a more hands-on therapy such as chiropractic. Because of this, Hawk and colleagues have developed guidelines for chiropractors working with children. In this study, researchers conducted a literature review looking at the safety and efficacy of treating children. Based on their findings, they outline evidence-based guidelines for the healthcare providers which parents can also use to be sure their child’s care is appropriate. Vallone and Carnegie-Hargreaves (2016) also provide comprehensive guidance for chiropractors that may also be useful for parents. They outline a ‘whole child’ approach to care that takes into consideration what might be causing the breastfeeding difficulties and how a chiropractic provider can structure the history and exam to best diagnose and treat the infant.

ICPA-certified Chiropractor, Dr. Stephanie Gessner, Milk Diva Chiropractic Care in Austin, TX explains, "A chiropractic adjustment on an infant is incredibly gentle! A pediatric chiropractor will only use the amount of pressure you would use to test the ripeness of tomato to gently adjust the area of the spine that needs correction."

Still on the fence? The International Chiropractic Pediatric Association (ICPA) has a collection of research that might help.

Get in touch with Milk Diva Chiropractic Services, who can help partner with you and an experienced chiropractor and help you achieve your breastfeeding goals.
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