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An ultrasound study demonstrates how the biomechanics of infant suck change after a gestalt intervention

Dr Pamela Douglas6th of Nov 20251st of Dec 2025

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In 2022 I published a study with Professor Donna Geddes and Dr Sharon Perrella in BMC Pregnancy and Childbirth which needs to be understood in detail by those operating at an advanced clinical level and using the gestalt method.

The study, "A brief gestalt intervention changes ultrasound measures of tongue movement during breastfeeding: case series", is located here, and investigates five mother-baby pairs. Please work through the online version, because that's where the supplemental videos are playable (- they're not available in the pdf version).

Please make sure you've covered:

  1. The problems each mother-baby pair presented with

  2. The detailed explanation of the biomechanics of a gestalt intervention, here.

  3. Additional File 1, which runs through the key clinical steps of the gestalt intervention, which may be useful to revise. You can find it here (and it can also be downloaded from the 2022 publication)

  4. Additional File 2 is a word document which runs through clinical observations before and after a brief gestalt intervention was applied in the lab. This is best being read alongside viewing the videos and photos in the supplemental materials online, and is an important way to check out your capacity to conduct a deep analysis of fit and hold.

Reference

Douglas PS, Perrella SL, Geddes DT. A brief gestalt intervention changes ultrasound measures of tongue movement during breastfeeding: case series. BMC Pregnancy and Childbirth. 2022;22(1):94. DOI: 10.1186/s12884-12021-04363-12887.

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