|Titre :||Retrospective quality audit of frenotomy for neonatal tongue-tie (2019)|
|Auteurs :||Tracy A. Page, Auteur ; Jessica Lai, Auteur ; Linda Zheng, Auteur|
|Type de document :||Article : texte imprimé|
|Dans :||Breastfeeding Review (Vol. 27, n°1, Mars 2019)|
|Article en page(s) :||pp. 13-19|
"Background: Neonatal frenotomy is thought to be associated with improved breastfeeding and benefits for mothers and babies. We examined the outcomes, parent perceptions and documentation of the procedure in a group of parent/infant pairs surveyed post-frenotomy.
Methods: Parents completed a qualitative survey focusing on reasons for frenotomy, perception of the procedure and breastfeeding outcomes. Medical records were also reviewed.
Results: Frenotomy was performed in 42 of 3608 (1.2%) of newborns over 3 years. Thirty (71.4%) of the parents completed surveys and 24 (80%) of these parents felt that the procedure improved breastfeeding. Most parents felt well informed about the procedure. Minor bleeding was the only complication noted. Duration of breastfeeding was >8 months with no difference between procedures performed early (= day 8 of age). Documentation of indication, severity, procedure and observation of feeding was excellent. Written documentation of parent discussion and verbal consent was absent in 47% of cases.
Conclusions: Frenotomy is quick, safe and effective in carefully selected patients. Comprehensive lactation and paediatric assessments are important to address other difficulties that can contribute to the breastfeeding interaction. Documentation of parent consent could be improved in our setting. The study provides guidance for development of a local management pathway."[Résumé de l'auteur]