Parodi Arianna, Ruffa Rosalba, De Felice Viola, Sartini Marina, Cristina Maria Luisa, Martino Beatrice, Bianco Francesca, Di Stefano Roberta, Mazzella Massimo
Neonatology Department, Ente Ospedaliero Ospedali Galliera, 16128 Genoa, Italy.
Operating Unit Hospital Hygiene, Galliera Hospital, 16128 Genoa, Italy.
Healthcare (Basel). 2024 May 8;12(10):961. doi: 10.3390/healthcare12100961.
Despite the care provided, some newborns, who are perfectly healthy, show functional alterations that impair a good breast attack in the first few days. This situation often leads to the early failure of lactation. We conducted a randomized single-blind controlled trial to evaluate whether four weeks of osteopathic treatment can normalize the sucking score in a group of neonates with impaired lactation ability. Forty-two healthy full-term neonates were enrolled in this study. On the basis of the sucking score and the assessment of the infant's breastfeeding skills, infants who had intrinsic breastfeeding difficulties were selected. The inclusion criteria were healthy infants born > 37 weeks, a suction score ≤ 6, and any breast milk at enrolment. At the end of the study, the sucking score was significantly greater in the osteopathic group than in the untreated group; the median sucking score in the treated group was in the normal range, while it remained lower in the untreated group. At the end of the follow-up, the percentage of exclusively breastfeeding infants in the treatment group increased by +25%. This pilot study demonstrates the efficacy of early osteopathic intervention to relieve breastfeeding difficulties in newborns in the first few weeks of life.
尽管提供了护理，但一些完全健康的新生儿在出生后的头几天仍会出现功能改变，影响有效的吸吮，这种情况常常导致早期泌乳失败。我们进行了一项随机单盲对照试验，以评估四周的整骨疗法能否使一组泌乳能力受损的新生儿的吸吮评分恢复正常。42名健康足月儿参与了本研究。根据吸吮评分和婴儿母乳喂养技能评估，选择存在内在母乳喂养困难的婴儿。纳入标准为孕周>37周的健康婴儿、吸吮评分≤6且入组时已摄入母乳。研究结束时，整骨疗法组的吸吮评分显著高于未治疗组；治疗组的吸吮评分中位数处于正常范围，而未治疗组的评分仍较低。随访结束时，治疗组纯母乳喂养婴儿的比例增加了25%。这项初步研究证明了早期整骨疗法干预对缓解新生儿出生后几周内母乳喂养困难的有效性。
