The role of tongue‐tie in breastfeeding problems—A prospective observational study

Abstract

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Abstract Aim:We evaluated what determined breastfeeding problems in a non-selected mother-infant cohort, with special reference to tongue-tie and improvements in breastfeeding following frenulotomy. Methods:This 2014-2015 prospective, observational study was carried out in a tertiary level maternity unit affiliated to the University of Freiburg, Germany, using a breastfeeding questionnaire, standardised breastfeeding scores and the Assessment Tool For Lingual Frenulum Function (ATLFF). The standard intervention was breastfeeding support, a frenulotomy for tongue-tie was performed if necessary. All cases of breastfeeding problems and, or tongue-tie, were followed up by telephone 2.5 weeks after birth. Results:We enrolled 776 newborn-mother dyads: 345 had breastfeeding problems, 116 had a tongue-tie and 30 underwent a frenulotomy. In the multivariate analysis, severe breastfeeding problems were more frequent in newborn infants with tonguetie, with an odds ratio (OR) of 2.6 (P= 0.014). Other risk factors were: no breastfeeding experience (OR 4.4, P = 0.001), low birth weight (OR 2.9, P = 0.001), prematurity (OR 3.6, P = 0.000) and Caesarean section (OR 1.6, P = 0.023). There was a significant reduction in breastfeeding problems after frenulotomy (P = 0.01). Conclusion:Tongue-tie had a significant impact on breastfeeding and so did low birth weights and prematurity. Frenulotomy proved helpful when breastfeeding problems were reported. K E Y W O R D Sankyloglossia, breastfeeding problems, frenulotomy, Hazelbaker score, tongue-tie

Symptoms of problematic feeding in infants under 1 year of age undergoing frenotomy: A review article

“…The median sample size of the studies was 58 (range support, [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] and four of the studies screened all infants born during the study period. 22,25,39,40 Not all studies listed explicit inclusion or exclusion criteria.…”

“…The median sample size of the studies was 58 (range support, [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] and four of the studies screened all infants born during the study period. 22,25,39,40 Not all studies listed explicit inclusion or exclusion criteria. Beyond breastfeeding difficulties, some studies restricted inclusion to certain infant age ranges, 27,28,[34][35][36][37]41 specific tongue tie severity 22,31,41 or baseline LATCH score.…”

“…Beyond breastfeeding difficulties, some studies restricted inclusion to certain infant age ranges, 27,28,[34][35][36][37]41 specific tongue tie severity 22,31,41 or baseline LATCH score. 41 Exclusion criteria included the presence of other oral anomalies, 25,28,32,40,41 prematurity, 25,[33][34][35]41 medical co-morbidities, 25,34,35,40 maternal breast surgery 34,35 and delivery complications. 40 There was variety in maternal and infant demographic information reported across studies.…”

“…27,28 Family history of tongue tie was reported in three studies. 24,25,37 Of the 20 studies, four were RCTs, 31,32,39,41 all of which had small sample sizes. The remaining studies obtained participants through convenience sampling, a form of selection bias.…”

Mulheres Com Diagnóstico De Hiv: Perfil Das Usuárias De Um Serviço Especializado

“…Nos estudos feitos por Carvalho et al (2002) (CORYLLOS et al, 2004;KUPIETZKY et al, 2005;BRITO et al, 2008;ARAÚJO et al, 2008;GENNA;CORYLLOS, 2009;KRISHNASWAMI;MCPHEETERS, 2015;PROCOPIO;LIA, 2017;SCHLATTER et al, 2019). Martinelli et al (2012) (HORTA et al, 2015;OMS, 2015;VICTORA et al, 2016).…”