Inflant reflux - not as simple as we might think / Joy C. Anderson AM in Breastfeeding Review, Vol. 25, n°2 (Juillet 2017)

[article]  inBreastfeeding Review > Vol. 25, n°2 (Juillet 2017) . - pp. 25-32 Titre : Inflant reflux - not as simple as we might think Type de document : texte imprimé Auteurs : Joy C. Anderson AM, Auteur Année de publication : 2017 Article en page(s) : pp. 25-32 Langues : Anglais (eng) Catégories : Alimentation Allergie Australie Colique Diagnostic Frein de langue posterior tongue-tie (PTT) Gastroentérologie Lactose Médicament Oreille Pathologie de l'appareil digestif Prise du sein Recommandation Refus du sein RGO Reflux gastro-oesophagien Trompe d'eustache Mots-clés : épaississant Résumé : "Many Australian infants are being diagnosed as having "reflux" based on symptoms alone, rather than on diagnostic tests. They are then prescribed medication. Research has cleary demontsrated that these medications are ineffective in infants pose significant risks. Observation has suggested that they are many possible cause of irritability and vomiting in infants, including lactose overload, food sensitivy, tongue-tie and Eustachian-tube irritation, although there is little in the litterature to guide practice. However, after medical issues have been ruled out, each of these might be considered, and appropriate referrals made, to assist parents and unsettled infants." [Résumé de l'auteur]. Permalink : ./index.php?lvl=notice_display&id=729 [article]

Making Sense of Studies That Claim Benefits of Frenotomy in the Absence of Classic Tongue-Tie / Pamela Douglas in Journal of Human Lactation, Vol. 33, n°3 (Août 2017)

[article]  inJournal of Human Lactation > Vol. 33, n°3 (Août 2017) . - pp. 519-523 Titre : Making Sense of Studies That Claim Benefits of Frenotomy in the Absence of Classic Tongue-Tie Type de document : texte imprimé Auteurs : Pamela Douglas, Auteur Année de publication : 2017 Article en page(s) : pp. 519-523 Langues : Anglais (eng) Catégories : Ankyloglossie BSES Breasfeeding Self-Efficacy Scale Chirurgie Diagnostic Echelle Etude et article scientifique Frein de la lèvre supérieure upper lip-tie (ULT) Frein de langue posterior tongue-tie (PTT) Frénotomie Lésion du mamelon Pathologie du frein lingual Pathologie du sein Pratique professionnelle RGO Reflux gastro-oesophagien Sein Soutien allaitement Mots-clés : sans intervention Résumé : "By performing an in-depth analysis of one high profile example, this article aims to help breastfeeding support professionals understand the methodological flaws that characterize recent studies claiming to show the efficacy of frenotomy for the diagnoses of posterior tongue-tie and upper lip-tie. The example study does not address definitional confusion or control for the effects of the passage of time. It does not consider the effects of caring attention, validation, and lactation consultant support. It also does not consider the extensive research over the past three decades that has established that reflux in the first 6 months of life is benign, even though increased reflux frequency may correlate with unsettled infant behavior. The study authors relied on the hypothesis that reflux is caused by excessive air swallowing in infants with poor latch due to posterior tongue-tie and upper lip-tie, which lacks credible physiological mechanisms or supporting evidence. The authors’ claim that conducting a randomized controlled trial to investigate the efficacy of frenotomy would be unethical contradicts the basic principles of good science. This article argues that our breastfeeding women and their babies deserve the most rigorous scientific methods available, and acknowledgment of the biases inherent in less rigorous research, if we are to make appropriate decisions concerning intervention with frenotomy and to prevent unnecessary oral surgery." [Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=749 [article]

Raynaud's Phenomenon of the Nipples: An Elusive Diagnosis / Carolyn Morino in Journal of Human Lactation, Vol.23 n°2 (Mai 2007)

[article]  inJournal of Human Lactation > Vol.23 n°2 (Mai 2007) . - pp. 191-193 Titre : Raynaud's Phenomenon of the Nipples: An Elusive Diagnosis Type de document : texte imprimé Auteurs : Carolyn Morino, Auteur ; Susan M. Winn, Auteur Année de publication : 2007 Article en page(s) : pp. 191-193 Langues : Anglais (eng) Catégories : Diagnostic Pathologie du sein Mots-clés : Raynaud  mamelons Résumé : Pain and throbbing of the nipples associated with Raynaud's phenomenon often mimics yeast or fungal infections. Breastfeeding mothers with Raynaud's of the nipples are often treated inappropriately for organisms such as Candida Albicans with topical or systemic antifungal agents. This case report describes the eventual diagnosis of Raynaud's phenomenon of the nipples in a breastfeeding mother who was initially treated for yeast. [Résumé de l'auteur]. Permalink : ./index.php?lvl=notice_display&id=517 [article]

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