Influence of frenotomy on breastfeeding in newborns with ankyloglossia

Lima, Anna Letícia Xavier de; Dutra, Monique Ramos Paschoal

doi:10.1590/2317-1782/20202019026

Cited by 6 publications

(2 citation statements)

References 20 publications

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“…After automated duplicate removal, 1328 records were screened, and 39 studies were included in the systematic review (Figure 1). 16,17,27–63 The studies included 5730 infants with ankyloglossia. Meta‐analyses used data from 16 studies 27–42 …”

Section: Resultsmentioning

confidence: 99%

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Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis

et al. 2022

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Aim:To evaluate breastfeeding symptoms associated with ankyloglossia/tongue-tie.Methods: Databases included PubMed, Embase, CINAHL, PsycINFO, Web of Science, and Google Scholar. Eligible studies reported baseline breastfeeding symptoms/severity from tongue-tied infants. Two reviewers independently screened studies, extracted data, and assessed quality. Low-quality studies were excluded. Main outcomes were weighted mean severity scores for dyads with ankyloglossia relative to reference values for successful breastfeeding. Meta-analyses used inverse-varianceweighted random-effects models. Results:Of 1328 screened studies, 39 were included (5730 infants with ankyloglossia). The mean LATCH score for patients with untreated ankyloglossia, 7.1 (95% CI: 6.7-7.4), was significantly below the good-breastfeeding threshold. The mean Infant Breastfeeding Assessment Tool score, 10.0 (8.2-11.7), was not significantly below the good-breastfeeding threshold. The mean Infant-Gastroesophageal Reflux Questionnaire-Revised score, 18.2 (10.5-26.0), was consistent with gastroesophageal reflux disease. The mean Breastfeeding Self-Efficacy Scale-Short Form score, 43.7 (39.3-48.1), indicated significant risk of cessation of exclusive breastfeeding within 1-3 months. Mean nipple pain was 4.9 (4.1-5.7) on a 0-10 scale, greater than typical scores for breastfeeding mothers without nipple damage. Total prevalence of breastfeeding difficulties was 49.3% (95% CI: 47.3-51.4%). Early, undesired weaning occurred in 20.3% (18.5-22.2%) of cases before intervention. Conclusion:Ankyloglossia is adversely associated with breastfeeding success and maternal well-being.

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Section: Resultsmentioning

confidence: 99%

“…Table 1 summarises study characteristics; Table S2 provides individual characteristics of all included studies 16,17,27–63 . The systematic review included 5 randomised controlled trials (RCTs), 19 pre‐post intervention studies, 10 observational cohort and cross‐sectional studies, 2 case–control studies, and 3 qualitative studies.…”

Section: Resultsmentioning

confidence: 99%

Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis

et al. 2022

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Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis

Cordray,

Raol,

Mahendran

et al. 2023

Pediatr Res

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Effect of lingual frenotomy on the breastfeeding improvement

Possamai,

Schäfer,

Quadra

et al. 2023

Braz.j. of oral sci.

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To evaluate breastfeeding in babies up to six months of age before and after frenotomy surgery in a reference hospital in a city from Santa Catarina state. Methods: An observational quality improvement study, carried out with babies up to six months of age undergoing frenotomy and their mothers in a reference hospital in southern Santa Catarina state. A questionnaire was applied to the mothers in two moments (before and after the surgery), with information regarding breastfeeding, sociodemographic, anthropometric and behavioral characteristics of them and of the babies. Descriptive analyzes were performed and the association between breastfeeding and the independent variables was assessed through Pearson’s chi-square and Fisher’s exact tests, using a 5% significance level. Results: A total of 74 children were studied, with 48 of them returning after surgery. 83.8% were breastfed before surgery and 64.9% after surgery. Before surgery, 58.1% of children effectively took the breast at once. After surgery, this prevalence was 83.3% (p=0.015). Before surgery, 75.9% of the mothers reported not feeling pain, while, after surgery, almost all of them (95.8%) reported this (p=0.004). Most mothers reported improvement in grip (83.3%), increase in the duration of breastfeeding (69.0%), improvement of baby’s breathing (75.0%), and an increase in the frequency of breastfeeding (51.7%). Conclusions: There was a decrease in the prevalence of breastfeeding after frenotomy. However, there was an improvement in the babies ‘grip and breathing and a reduction in the mothers’ pain when breastfeeding. It is emphasized the need to implement multidisciplinary actions in both primary and hospital care to assist mothers in order to prolong the duration of exclusive breastfeeding.

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Influence of frenotomy on breastfeeding in newborns with ankyloglossia

Cited by 6 publications

References 20 publications

Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis

Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis

Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis

Effect of lingual frenotomy on the breastfeeding improvement

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