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Chiropractic Journal of Australia : CJA September 2012
108 Chiropractic Journal of Australia Volume 42 Number 3 September 2012 INTRODUCTION Acknowledging the increasing choice by parents to use complementary and alternative medicine (CAM) for their children, the American Academy of Paediatrics convened and charged the Task Force on Complementary and Alternative Medicine to address issues related to the use of complementary and alternative medicine in children and to develop resources to educate physicians, patients, and families.1 As pointed out by Kemper and colleagues,1 over 50% of children with chronic, recurrent and incurable conditions and between 20% to 40% of healthy children seen in outpatient paediatric clinics2 use CAM along with with mainstream care.2-8 Of interest in this case report is the successful chiropractic care of a newborn with neck dysfunction, temporomandibular joint dysfunction and jaundice. Adhering to evidence-based practice, we describe specifics of the chiropractic care provided in the milieu of a multidisciplinary care approach. Case Report Narrative The patient was a 6 day old male with breastfeeding diffculties and jaundice since birth. The infant was born without any medication intervention (i.e. no epidural injection ABSTRACT: Objective: To describe the care of a newborn with breastfeeding diffculties and jaundice. Clini- cal Features: A neonate with diffculty rotating his head and neck and opening of the mouth due to mandibu- lar sway to the left received chiropractic care. The infant was also medically diagnosed with jaundice due to elevated bilirubin levels. Intervention and Outcome: The patient received soft-tissue manipulation to the temporomandibular joints (TMJ), cranial therapy and spinal manipulative therapy to the upper cervical spine. Following the frst treatment visit, the patient was able to suckle from his mother’s breast due to minimal deviation of the mandible and ability to rotate his neck towards the left breast. Conclusion: This case report documents the effectiveness of chiropractic care in addressing TMJ, cervical spine and cranial dysfunctions and possibly breastfeeding jaundice. INDEX TERMS: (MeSH): CHIROPRACTIC; BREASTFEEDING; PEDIATRICTS; JAUNDICE, NEONATAL. (Other): BREASTMILK JAUNDICE. Chiropr J Aust 2012; 42: 108-13. The Chiropractic Care of a 6-day-old Neonate with Breast Feeding Diffculties and Breastfeeding Jaundice. MARIA BERNARD and JOEL ALCANTARA Maria Bernard, BSc(NSW), Grad.Dip. Chiro.Cert. Chiro.Paed.(RMIT) Cabramatta West, NSW 2166 Australia Joel Alcantara, DC Research Director, International Chiropractic Paediatric Association, Media, PA, USA and Chair of Paediatric Research, Life Chiropractic College West, Hayward, CA Received: 20 October 2011. Accepted with revisions: 10 April 2012 Confict of Interest Statement: In his capacity as Research Director and Chair of Paediatric Research, Dr Alcantara receives funding and/or sup- port from the International Chiropractic Paediatric Association and Life Chiropractic College West. or oxytocin given to mother to induce labour) via a normal vaginal birth with the assistance of a midwife at a public hospital. The infant’s mother was 33 years of age at the time of delivery and this was her third child. She had received the Webster Technique9 chiropractic care during her pregnancy. At 33 weeks, he was described by the midwife, as being in a posterior occiput alignment. Following the Webster Technique, at 38 weeks, the midwife reported the infant had turned from a posterior occiput position into a vertex alignment, with the occiput anterior. The frst stages of labour lasted several hours during which time the expecting parents chose to stay at home. At 6 am the following day, the infant’s mother was admitted to the hospital and measured 5 cm dilation. By 10 am that morning, the second stage of labour had progressed and lasted 35 minutes. The parents were advised this was a normal birth, without any unusual facial or brow presentation. The neonate had been delivered by a midwife without the need of medical instrumentation or medication. The infant was born with APGAR scores of 9 at 1 and 5 minutes, weighed 3kg, had a body length of 49cm and head circumference of 35cm. A paediatrician examined the neonate with a standard newborn screening process and all checks were reported as normal. For the frst 2 days after the birth, the baby was sleeping and feeding well. However, over the following 2 days, the infant was described as irritable and demonstrated distress when turning his neck to face his mother’s left breast. Though the infant fed often, his mother noticed that her left breast was painful. This confrmed her suspicion that her son was not feeding from her left breast and she resorted to expressing in the shower to relieve the tension in that breast. The mother's description on her efforts to encourage her baby to suckle
CJA June 2012
CJA December 2012