![]() Until now, studies using ultrasound during nutritive sucking performed measurements on each individual ultrasound image frame, which was quite time-consuming. Tongue movements during nutritive sucking can only be visualized with instrumented methods such as ultrasound. The complexity of this oral sensorimotor activity includes movements of the tongue and jaw. Nutritive sucking is a complex process, essential to proper growth and development. Further research investigating short- and long-term outcomes of a gestalt breastfeeding intervention in larger cohorts is required. These preliminary findings suggest that changes in fit and hold impact on infant tongue movement and contour. Ultrasound demonstrated that the distance from nipple tip to junction of the hard and soft palate decreased, intra-oral nipple and breast tissue dimensions increased, and nipple slide decreased after a brief gestalt intervention. A fifth pair was breastfeeding successfully. Three of these infants had difficulty latching and fussed at the breast three had been diagnosed with oral ties. Four of the mother-baby pairs, who had received comprehensive lactation support, reported persisting nipple pain. Ultrasound measurements were conducted in five breastfeeding dyads, infants aged 4–20 weeks, while feeding in their usual or ‘standard’ position and again after brief application of gestalt principles of fit and hold. The aim of this preliminary study was to investigate whether a gestalt breastfeeding intervention alters tongue movement, using measurements from ultrasound imaging to determine nipple placement and intra-oral nipple and breast tissue dimensions. However, approaches to fit and hold vary widely, with limited evidence of benefits, and effects of fit and hold on infant tongue movement have not been examined. Lactation consultants frequently advise adjustments to fit and hold (or positioning and attachment) with the aim of optimising intra-oral nipple placement. ![]()
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