{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T17:02:55Z","timestamp":1784480575743,"version":"3.55.0"},"reference-count":17,"publisher":"Walter de Gruyter GmbH","issue":"8","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jom-2024-0133_abs_001\">\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>The benefits of breastfeeding are well established, from reduced incidence of common childhood infections to decreased incidence of sudden infant death syndrome and infant mortality. Offering support to breastfeeding mothers should be a key aspect of care in the perinatal period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2024-0133_abs_002\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate whether utilization of a standardized osteopathic manipulative treatment (OMT) protocol as an adjunct to lactation support improves feeding dysfunction in breastfed newborns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2024-0133_abs_003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a single-blinded, randomized, controlled, prospective pilot study of healthy, full-term neonates identified by an International Board Certified Lactation Consultant (IBCLC) as having feeding dysfunction. Neonates were subsequently randomized in an alternating fashion into an OMT protocol treatment vs. sham treatment. Infant LATCH (\n                      <jats:underline>L<\/jats:underline>\n                      atch,\n                      <jats:underline>A<\/jats:underline>\n                      udible swallowing,\n                      <jats:underline>T<\/jats:underline>\n                      ype of nipple,\n                      <jats:underline>C<\/jats:underline>\n                      omfort of birth person, and\n                      <jats:underline>H<\/jats:underline>\n                      elp birthing person needs holding infant to breast) scores were assessed by nurses and IBCLCs during hospitalization assessed with mean and median score improvement between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2024-0133_abs_004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty infants were included in the study, divided into a sham group (n=21) and OMT group (n=19). The groups had similar characteristics. The change between pre- and postintervention LATCH scores were calculated for each group, respectively. The mean LATCH score change in the OMT group was 2.0\u00b11.8. The mean LATCH score change in the sham group was 0.9\u00b11.2. The mean LATCH score change in the OMT group is statistically significantly greater than the mean LATCH score change in the sham group (p=0.030), indicating that the OMT group had greater improvement in their LATCH score compared to the sham\u00a0group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jom-2024-0133_abs_005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Healthy newborns with feeding dysfunction who were randomized to receive two OMT treatments during their hospitalization demonstrated a statistically significant moderate improvement in the changes in the median modified LATCH score compared with newborns randomized to the sham group. However, the effect size was moderate, at best. The LATCH score changes between groups cannot be highly attributed to the OMT interventions. However, there were no adverse effects of treatment. These findings suggest that OMT may be a safe adjunct to traditional lactation support in the care of healthy breastfed newborns with feeding dysfunction. Future studies could investigate other factors, such as the length of time that mothers breastfeed their infants after the two initial treatment sessions or potentially including a separate arm for neonates with ankyloglossia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jom-2024-0133","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T09:07:31Z","timestamp":1765012051000},"page":"383-391","source":"Crossref","is-referenced-by-count":2,"title":["Osteopathic manipulative treatment for management of feeding dysfunction in breastfed newborns"],"prefix":"10.1515","volume":"126","author":[{"given":"Dominique","family":"Fons","sequence":"first","affiliation":[{"name":"Clinical Assistant Professor, University of Illinois College of Medicine-Peoria, ATSU Kirksville College of Osteopathic Medicine , Peoria , IL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari Beth","family":"Watts","sequence":"additional","affiliation":[{"name":"Assistant Professor, Western Michigan University Homer Stryker MD School of Medicine , Kalamazoo , MI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Vannitamby","sequence":"additional","affiliation":[{"name":"Order of St. Francis Healthcare , Peoria , IL , USA"},{"name":"Clinical Instructor, Kirksville College of Osteopathic Medicine , Kirksville , MO , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Rainey","sequence":"additional","affiliation":[{"name":"Assistant Clinical Professor of Child Health, University of Arizona College of Medicine\u00a0\u2013\u00a0Phoenix , Phoenix , AZ , USA"},{"name":"Adjunct Clinical Assistant Professor of Pediatrics, University of Illinois College of Medicine , Peoria , IL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Ford-Davis","sequence":"additional","affiliation":[{"name":"Clinical Assistant Professor of Pediatrics, University of Illinois College of Medicine\u00a0\u2013\u00a0Peoria , Peoria , IL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanzhi","family":"Wang","sequence":"additional","affiliation":[{"name":"University of Illinois College of Medicine\u00a0\u2013\u00a0Peoria , Peoria , IL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth","family":"Van Heukelom","sequence":"additional","affiliation":[{"name":"Bronson Healthcare Group , Kalamazoo , MI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Wright","sequence":"additional","affiliation":[{"name":"Associate Professor of Family Medicine and Dean, Marian University College of Osteopathic Medicine , Indianapolis , IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"2026071916593274746_j_jom-2024-0133_ref_001","unstructured":"Centers for Disease Control and Prevention. Breastfeeding: why it matters. Peoria, IL: U.S. Centers for Disease Control and Prevention; 2019. https:\/\/www.cdc.gov\/breastfeeding\/about-breastfeeding\/why-it-matters.html [Accessed 2 Jan 2025]."},{"key":"2026071916593274746_j_jom-2024-0133_ref_002","unstructured":"Centers for Disease Control and Prevention. Breastfeeding initiation rates. Peoria, IL: U.S. Centers for Disease Control and Prevention; 2024. https:\/\/www.cdc.gov\/breastfeeding-data\/county-initiation\/index.html#IL."},{"key":"2026071916593274746_j_jom-2024-0133_ref_003","unstructured":"Pizzolorusso, G, Cerritelli, F, D\u2019Orazio, M, Cozzolino, V, Turi, P, Renzetti, C, et al.. Osteopathic evaluation of somatic dysfunction and craniosacral strain pattern among preterm and term newborns. J\u00a0Am Osteopath Assoc 2013;113:462\u20137."},{"key":"2026071916593274746_j_jom-2024-0133_ref_004","unstructured":"King, H. The collected papers of Viola M. Frymann, DO: legacy for osteopathy to children. 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J\u00a0Obstet Gynecol Neonatal Nurs 1994;23:27\u201332. https:\/\/doi.org\/10.1111\/j.1552-6909.1994.tb01847.x.","DOI":"10.1111\/j.1552-6909.1994.tb01847.x"},{"key":"2026071916593274746_j_jom-2024-0133_ref_013","doi-asserted-by":"crossref","unstructured":"Altuntas, N, Turkyilmaz, C, Yildiz, H, Kulali, F, Hirfanoglu, I, Onal, E, et al.. Validity and reliability of the infant breastfeeding assessment tool, the mother baby assessment tool, and the LATCH scoring system. Breastfeed Med 2014;9:191\u20135. https:\/\/doi.org\/10.1089\/bfm.2014.0018.","DOI":"10.1089\/bfm.2014.0018"},{"key":"2026071916593274746_j_jom-2024-0133_ref_014","doi-asserted-by":"crossref","unstructured":"Riordan, J, Bibb, D, Miller, M, Rawlins, T. Predicting breastfeeding duration using the LATCH breastfeeding assessment tool. 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