Over the past twenty five years in New Zealand, the awareness of osteopathic treatment for babies has increased, however we are still often asked when to seek treatment for a baby. We also often see older children who could have benefited from treatment as a baby. We are keen that all babies and children who need help, receive it in a timely fashion.

This article is to inform parents when to seek osteopathic treatment for their baby and what to look for in an osteopath.

​A baby will often communicate there is a problem by being unsettled, irritable or wakeful.
​Symptoms in a newborn baby to be aware of are:

• colic
• excessive wind
• continuous crying
• difficulty feeding or a preference to feed from one breast
• sticky eyes
• sleeping difficulties
• stiffness of the neck muscles
• favouring the head to one side 
• a misshapen head
• tongue tie or jaw restriction

What education do Osteopaths have?

Osteopaths train for forty hours per week for five years full-time at university and are required to competently pass well over one hundred exams and undergo clinical competency training and exams.

Osteopaths are government regulated and registered with the Osteopathic Council of New Zealand and must partake in ongoing professional education each year. We are also ACC treatment providers.

Osteopaths who treat babies and young children ought to have done extra post graduate study in addition to their undergraduate paediatric study.
​

Why would a newborn baby have anything wrong with them that is needing help by an osteopath?
A baby's passage through the birth canal is usually a difficult process however nature ensures that the bones of the skull are pliable enough to overlap to enable this to happen. Sometimes the bones do not return to their normal positions after delivery. This can happen if the labour is unusually long or fast, if there is a large baby passing through a small pelvis, if a baby has a large head or if intervention is necessary for example a forceps delivery or ventouse extraction. A baby may suffer a cranial base, neck, shoulder or back strain during the birth process. Pre-term babies may have strain from being out of the uterus too early and there is also likely to be alterations in nervous system function.

A Caesarian birth may involve trauma to the baby who is stuck in the mother's pelvis. Alternatively, problems can occur in utero if there is insufficient amniotic fluid.

Very often your midwife or lead maternity carer will refer you and your baby to see an osteopath for assessment and treatment, particularly if the birth has been difficult. We also work with Lactation consultants to help with feeding issues. This can include jaw and cranial base problems that may be affecting the baby's ability to latch, or to treat the tongue and surrounding structures in cases where a posterior tongue tie is affecting baby's function.

How soon should my baby see an Osteopath?
If there is nothing particularly troublesome going on for your baby then we recommend two weeks after the birth is a good time to have made an appointment as that gives you time to feel settled at home and also figure out how to get out of the house and travel with a new baby.
If the birth has been difficult or your baby is very upset and won't settle, then we recommend bringing them in to see a cranial osteopath as soon as possible.
​
What does the assessment and treatment look like?
First a medical history of the mother and baby is taken relating to the pregnancy and birth and any concerns you may have. Then your baby is gently assessed from their feet up to their head. Findings and treatment process are explained and then treatment will take place with your consent.
The treatment looks calming and is very gentle for your baby. If necessary we can treat your baby while they are being breast fed or sucking on a finger to help soothe them. Osteopaths use their hands to gently help the baby undo strains in the fascia (the connective tissues of the body), to help restore better alignment and function. We are also able to assist the autonomic nervous system of the body, calming the sympathetic and boosting the parasympathetic nervous system. This is very relaxing and helps the digestion to settle and ideally the whole body to be in self healing mode. Please note cranial osteopathy is not just to do with the head, any tissue in the body can be  treated with this gentle approach. Our clients find it is surprisingly effective.

Afterwards your baby may be more hungry than usual and be a bit unsettled or sleep for longer periods as their body works with the treatment to undo strains and find better alignment and health. 

Ideally all pregnant mums would be assessed and treated at around 35 weeks pregnant to help balance up the pelvis and ready the connective tissues of the body for birth.
Research shows 
http://jaoa.org/article.aspx?articleid=2092759) that this results in a better birth with fewer interventions. This also means post birth we can see you for a one hour 'Mother and baby' check up together.

Some research:
Meta-analysis of research shows Osteopathic treatment reduces length of stay and costs in preterm infants. March 2017 insights.ovid.com/crossref?an=00005792-201703240-00043
Osteopathic treatment of children with cerebral palsyjaoa.org/article.aspx?articleid=2093549#72971939
Research evidence for cranial bone mobility:
http://www.icnr.com/articles/radiographic-evidence-of-cranial-bone-mobility.html
​Research on cranial rhythmic impulse and the Traube-Hering-Mayer oscillation:
http://jaoa.org/article.aspx?articleid=2092406 
Research on measuring intracranial wave form pulsatility:
http://www.ncbi.nlm.nih.gov/pubmed/9779147
Pre-term-infants(Research:http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0127370 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3648440/)
Research on treatment of colic http://​www.sciencedirect.com/science/article/pii/S1744388105001350
Research on plagiocephaly www.sciencedirect.com/science/article/pii/S174438811100020X
Research evidence on safety of Cranial Osteopathy: http://jaoa.org/article.aspx?articleid=2093194

​While particular attention should be directed towards the pelvis, osteopaths try to make sure the whole body is able to adapt efficiently to the incredible changes that happen on many levels during pregnancy. Some things we focus on pre-conception are improving blood flow and lymphatic circulation in the pelvis and abdomen. This is so important these days when most people spend hours sitting at their desks or in vehicles. Balancing the autonomic nervous system (which usually means reducing the effects of stress by calming the sympathetic nervous system) is another area that often needs help and can make for a very different experience once a woman becomes pregnant, for both herself and the baby.

While sorting out dysfunctions that can be dealt with pre-conception is ideal, treatment in pregnancy is very beneficial and often needed. Pregnancy is a very dynamic state where the body undergoes some profound changes in a relatively short space of time.



​​I will touch on a few of those below and mention briefly what osteopaths can do to help “support the change” or reduce discomfort if the changes are not happening as smoothly as they should:

1) Postural/mechanical changes: as the body’s centre of gravity shifts for obvious reasons, the posture changes dramatically. It is of vital importance to ensure that there are no major restrictions so the structure is able to adapt to new demands. One very important aspect is to ensure normal mobility of the sacrum so that it can move during labour thus making it easier for the baby to pass through the birth canal. But it’s not just about the pelvis. Chronic sitting in desk workers often leads to tension and sometimes constant pain in the shoulders/neck or between the shoulder blades. Not only is this uncomfortable and stressful, restrictions there would prevent a woman from achieving a deep squat with good form - which is one of the most useful exercises in pregnancy as well as a great position during labour that helps the baby descend. Having a mobile thoracic spine and ribcage also means you can breathe more efficiently getting more oxygen for yourself and the developing baby, have more energy and a clearer head! 

Some research on Osteopathic treatment in Pregnancy:
Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis.www.ncbi.nlm.nih.gov/pubmed/25175885 
Acute improvement in hemodynamic control after osteopathic manipulative treatment in the third trimester of pregnancy. https://www.ncbi.nlm.nih.gov/pubmed/24280470
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​Aydan Hajiyeva Honours Diploma in General Medicine, DO M.Ost. Reg. Osteopath MONZ
Aydan has an Integrated Master’s Degree course from the European School of Osteopathy (UK).
Having previously completed six years medical doctor training, she really appreciates the holistic nature of the osteopathic approach. She has been exposed to a variety of treatment approaches at university, including classical, cranial and visceral osteopathy and has undertaken post graduate education, including biodynamics of osteopathy, primitive reflexes and pregnancy care, which have helped her develop her vision of osteopathy. Aydan regards osteopathy as a philosophy allowing her to create a positive change in a patient, by facilitating the expression of the inherent wisdom of the body.
www.cityosteopaths.co.nz 
​Phone 04 4991439

She says that midwives noted labour time was shorter and that significantly less medical intervention was required if women received a series of acupuncture pre- birth treatments. 


Janine goes on to say,  "When needed, an acupuncture induction can work very well, offering a gentle alternative to a chemical induction. A single treatment may be sufficient, but three is more common. If you are about to be induced chemically it is a good idea to receive 3 treatments spaced close together". 


Our acupuncturists also turn breach or posterior babies. "It's so gentle. We stimulate an acupressure point on the feet by applying concentrated heat instead of a needle. Sounds odd I know, but around 70% of babies will turn. Even in late pregnancy it may work but the earlier we start the better as there is more room for baby to turn". 


Our Reg Acupuncturists Janine Nana and Sharlene McInness, also teach partners or support people some simple and very effective acupressure techniques to use in labour. It is easy to learn, and requires no massage experience. The techniques taught are great at easing pain during contractions. They can also calm the woman should labour become overwhelming. 


Finally, postnatal acupuncture may help you in a variety of ways. It can deal with insufficient lactation or mastitis. Fatigue and slow recovery issues are very treatable by using points that build energy. And crying a lot? You may have postnatal depression. It often feels like anxiety rather than depression, like not coping maybe. Others may not understand the depth of your not coping feelings. It may be beyond their experience to feel like you are feeling. While anti-depressants will help, try acupuncture first, as medication means you'll need to stop breast feeding. "We use acupuncture to balance serotonin to lift sadness, calm anxiety and balance stress hormones"

For more information visit our website here
Or call our reception staff on 04 4991439 to have Janine or Sharlene call you back

Article by City Osteopaths Reg. Acupuncturist, Sharlene Green- McInness 

Recurrent pregnancy loss can be benefited with Acupuncture treatment, assisting with related immune factors, emotional distress, and hormonal imbalances. Acupuncture is also supportive of a developing foetus by improving blood flow supply and preventing involuntary uterine contractions. Balancing the hormonal interaction between the Hypothalamus and Pituitary Ovarian axis (HPO axis) regulating the body’s natural hormone production and Progesterone levels. This results in improved ovarian egg quality and a rich nourishing Uterus lining for a developing embryo, encouraging a 9 month stay.

Acupuncture can be very helpful during pregnancy and in the lead up to labour. During pregnancy we can help with such things as Morning sickness, Emotional issues and Muscular aches and pains. Leading up to labour, Acupuncture works with preparing your body for eminent labour by encouraging efficient ripening of the Cervix, assisting with energy reserves, encouraging baby’s descent and helping with baby positioning. I will show you beneficial Acupressure points that birthing partners can use to provide pain relief and assist a straight forward efficient labour.

We often receive referrals from midwives for breech babies. The treatment involved is very gentle but effective. In the treatment, I burn a Moxa stick (heated Chinese herbs) over a point on your foot. This heat is just another way of stimulating the point. Then I give you a stick of Moxa to take home and repeat the treatment yourself, daily for 10 days. For expectant mothers going over their due date Acupuncture can also be used to gently encourage the body to naturally go into labour without induction, encouraging uterine contractions and promoting labour.

Several studies have been conducted exploring the use of Acupuncture to prepare woman for labour; the first being in 1974. The results of this research concluded Acupuncture received on a weekly basis from 37 weeks, was beneficial in reducing the average labour time from 8 hours 2 minutes to 6 hours 36 minutes (in the Acupuncture group).

Further research conducted by Zeisler into the use of Acupuncture points from 36 weeks showed positive effects on first stage labour duration shortening from 5 hours 35min to 3 hours 27mins in the group who had received Acupuncture.

Research into Acupuncture from 35 weeks gestation has shown the following statistics:

·         35% reduction in inductions performed (first pregnancies 43%)

·         31% reduction in epidural rate

Kubista E, Kucera H. Geburtshilfe Perinatol 1974; 178 224-9. Zeisler H, Tempfer C, Mayerhofe Kr, Barrada M, Husslein P. Influence of acupuncture on duration of labour Gynecol Obstet Invest 1998; 46:22-5. Betts D, Lennox S. Acupuncture for prebirth treatment: An observational study of its use in midwifery practice. Medical acupuncture 2006 May; 17(3):17-20

In Asian culture it is customary for woman to have a 30 day rest post labour. Understandably society doesn’t exactly facilitate this occurring... The focus of Acupuncture treatments post-delivery are directed towards; mood balancing, assisting with energy levels, facilitating lactation and milk production.

Reg. Acupuncturist Sharlene Green- McIness
City Osteopaths
www.happybodyacupuncture.co.nz
​www.cityosteopaths.co.nz