Bodywork for Breastfeeding Difficulties
Many babies with difficult births or with anatomical issues (tongue-tie, high palate, torticollis, high or low muscle tone) benefit from bodywork to help improve their functional ability to breastfeed. Babies who spend several hours a day in a swaddle or infant gear also benefit from bodywork. Bodywork is broad term that includes any intervention that helps the function of muscles, nerves and bones - all of which are involved in the highly coordinated movements needed to effectively latch at the breast and suck. Some types of bodywork are simple and can be done by parents, such as infant massage and ensuring baby does tummy time each day. A bodyworker who specializes in babies with feeding problems can also be an invaluable resource. This might include a chiropractor, massage therapist, occupational therapist or speech therapist. The important thing is not the credential, but the breastfeeding-specific experience. According to skilled provider, Dr. Stefanie Gross Rodstater, of Adjusting the World Chiropractic in Huntersville,
"The birth process can be a traumatic experience on the spine of an infant, and the nerves that control the muscles of the neck and mouth are controlled through the spine. If a child is having trouble latching or seems to favor a side breastfeeding or sleeping, the cranial bones can be affected causing asymmetry and overall dysfunction. As a chiropractor certified in pediatrics, I see the trauma to the spine resulting in nervous system disruption that can cause colic, acid reflux, constipation, difficulties latching, etc. Correction of the misalignment of the spine and cranial bones is an easy, non-invasive solution for many infants in our office, especially in conjunction of a great lactation specialist. I encourage every mom to have their child's spine checked after delivery."
When babies are experiencing breastfeeding difficulties arising from functional limitations, parents can also work at home with their babies on easy exercises that help improve baby's coordination or range of movement. Below are four different types of "bodywork" parents can do with their babies. These should be done in a playful, gentle way that creates a positive atmosphere.
Video #1 Suck Training
Purpose: Helps organize suck patterns, improves range of motion of tongue, decreases gag sensitivity.
Video #2 Rhythmic Exercises
Purpose: Helps loosen tight muscles that restrict movement, integrates reflexes, and encourages equal use of left and right side of body (symmetry)
Video #3 Tummy Time
Purpose: Helps strengthen core and neck muscles involved in efficient breastfeeding. Helps prevent torticollis and flat head syndrome. We recommend about 30 minutes a day for a one month old, 60 minutes a day for a two month old, and for older babies we recommend they be placed on the floor anytime they are not being held (no seats or swings). Try tummy time after every nap.
Video #4 Massage
Purpose: Helps relax baby and loosen tense muscles. Could be especially helpful for a baby who seems tense or high strung.
Video #5 Guppy Pose
Purpose: Helps release tension under the jaw and neck for increased mobility and reduced risk of tongue-tie reattachment.
Video #6 Tongue or Lip-Tie Aftercare
Purpose: Helps prevent reattachment after release of tongue and lip ties as well as improve infant's range of motion and coordination. Skip ahead to 2:37 in the video to see demonstrations. We recommended performing stretches 4 times per day post frenotomy.
If you aren't sure if infant bodywork is something that would improve your breastfeeding experience, work with a Lactation Consultant who can develop an individualized care plan to help you and your baby breastfeed successfully. A breastfeeding specialist can also refer you to skilled bodywork providers in your area.
Mamas in the north Charlotte and Lake Norman area, we encourage you to setup a home visit so we can help you address these issues. If you are out of our travel area, you can setup a virtual consult with us or google "lactation consultant near me" to find local help.