Abstract
Background: Lactation consultants (LCs) and chiropractors both play key roles in supporting breastfeeding, particularly when musculoskeletal (MSK) or neuromuscular dysfunctions affect feeding. Chiropractic care has increasingly been recognized for its potential to improve breastfeeding outcomes by addressing birth-related restrictions that impact an infant’s ability to latch and suck effectively. However, in South Africa, limited research exists on lactation consultants’ awareness, perceptions, and referral practices regarding chiropractic paediatric care, as well as on the extent of collaboration between these two professions.
Aim: The aim of this study was to assess the awareness and perception of lactation consultants towards paediatric care and the correlation to interdisciplinary collaboration.
Methods: Cross-sectional online survey of LCs (n = 73). The questionnaire, adapted from a previous study by Beech (2009), consisted of 13 questions grouped into four sections: demographics, awareness, referral patterns, and perceptions of safety and efficacy. The survey was distributed via SACLC to assess awareness and perception of LCs towards safety and efficacy of chiropractic care. The data analysis was performed on the Likert-scale items to identify underlying factors, Spearman’s rho for correlations.
Results: 73 valid responses were included in the final analysis. There was an increased in qualification from the year 2020. The majority of the respondents were ‘aware’ and ‘highly aware’ of training and clinical experience in paediatric chiropractic care, and common paediatric-related complaints. The likelihood of referral from lactation consultants to chiropractor was neutral. Most respondents found chiropractic care safe and effective for the treatment of infants. There was a significant relevance between years
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of graduation and referral pattern as well as training and clinical experience in paediatric chiropractic care.
Conclusion: This study highlighted an overall positive perception of certified LCs towards paediatric chiropractic care in South Africa, emphasizing its perceived safety and effectiveness in managing common infant MSK and breastfeeding-related conditions. Strengthening interdisciplinary collaboration through education and shared clinical engagement could enhance comprehensive paediatric chiropractic care and optimize breastfeeding results.