Osteopathic considerations for breastfeeding women

Abstract

Extensive benefits of breastfeeding have been identified and although many women initiate breastfeeding, discontinuation is common when problems arise. In this article, the authors review the pertinent anatomy of the breast with osteopathic considerations to help osteopathic physicians identify myofascial, vascular, lymphatic, or innervation somatic dysfunctions to support the breastfeeding mothers’ long term breastfeeding goals, optimize breastmilk supply, and potentially prevent or treat problems that could interfere with lactation. Observations from the authors’ academic mother-baby osteopathic manipulation clinic are also included.

Troubleshooting common breastfeeding difficulties

“…Consider evaluating T2-T6 and the corresponding ribs as this represents the main innervation to the breast and nipple .37,38 The internal thoracic artery delivers the primary blood supply to the breast and it travels just inferior to the clavicle and between the pectoralis major and minor muscles prior to descending into the breast, so dysfunctions of these structures could be evaluated as well. 38,39 There is an ongoing study investigating the use of osteopathic manipulation on milk production in women with low supply. 40…”