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Timing of oral feeding changes in premature infants who underwent osteopathic manipulative treatment

L Vismara1, A Manzotti2, A G Tarantino3

  • 1NICU - Woman and Child Department, Del Ponte Hospital, Varese, Italy; Manima, Non-Profit Organization Social Assistance and Healthcare, Milan, Italy; Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy.

Complementary Therapies in Medicine
|April 3, 2019
PubMed

Insights

Osteopathic manipulative treatment (OMT) significantly reduced the time to oral feeding in preterm infants. This intervention shows promise for improving feeding outcomes and potentially shortening hospital stays for premature babies.

Area of Science:

  • Neonatal Medicine
  • Osteopathic Medicine
  • Pediatrics

Background:

  • Delayed transition from gavage to nipple feeding is a major factor prolonging hospital length of stay (LOS) in preterm infants.
  • Osteopathic manipulative treatment (OMT) has shown effectiveness in reducing LOS, but its impact on achieving oral feeding is not well-documented.

Purpose of the Study:

  • To evaluate the effectiveness of Osteopathic manipulative treatment (OMT) in facilitating the transition to oral feeding in healthy preterm infants.
  • To assess the clinical utility of OMT for improving feeding outcomes in premature neonates.

Main Methods:

  • A preliminary propensity score-matched retrospective cohort study was conducted.
  • Data from 70 healthy preterm infants (28+0 to 33+6 weeks gestational age) in a Neonatal Intensive Care Unit (NICU) were analyzed.
  • Infants receiving OMT until hospital discharge were compared to a control group.

Main Results:

  • The study included 35 infants in the osteopathic group and 35 in the control group, with comparable baseline characteristics.
  • A significant reduction in the time to oral feeding (TOF) was observed in the osteopathic group (-5.00 days, p=0.042).
  • The positive effect of OMT on TOF was more pronounced in very low birth weight infants.

Conclusions:

  • The findings suggest that Osteopathic manipulative treatment (OMT) is a potentially effective intervention for promoting oral feeding attainment in preterm infants.
  • Further large-scale clinical trials are recommended to confirm the efficacy and utility of OMT in this population.
Abstract

Keywords:
FasciaLength of stayNeonatal intensive care unitOsteopathic medicineSympathetic nervous system

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