|Titre :||Frenotomy in Infants with Tongue-Tie and Breastfeeding Problems : Clinical Practice (2019)|
|Auteurs :||Anjana Srinivasan, Auteur ; Alex Al Khoury, Auteur ; Svetlana Puzhko, Auteur|
|Type de document :||Article : texte imprimé|
|Dans :||Journal of Human Lactation (Vol. 35, n°4, Novembre 2019)|
|Article en page(s) :||pp.706-712|
|Catégories :||Ankyloglossie ; Conseil ; de 0 à 6 mois ; Difficultés de l'allaitement ; Frein à l'allaitement ; Frein de langue ; Frénotomie ; Latch ; Malformation de la bouche ; Mastite ; Outil d'évaluation ; Pratique de l'allaitement ; Soutien aux mères|
Infant tongue-tie can cause breastfeeding problems, which may be improved by frenotomy. However, controversy exists among the medical community.
To examine the influence of frenotomy on infants with posterior ankyloglossia, by quantifying the changes in breastfeeding and maternal nipple pain using standardized tools.
Newborns (N = 30) below 12 weeks of age were recruited from the HerzlGoldfarb Breastfeeding Clinic between April 2014 and April 2015. Diagnosis of posterior ankyloglossia was made clinically. Frenotomy was performed. Mothers received breastfeeding counseling before and after the procedure. Pain and breastfeeding were assessed before the procedure, immediately after the procedure, and after 2 days, 7 days and 14 days. Breastfeeding was assessed using the LATCH Tool and by subjective questioning. Maternal nipple pain was assessed using the Numeric Rating System.
No complications were reported with frenotomy. There was a significant improvement in LATCH score immediately post-frenotomy, with an increase in median scores from 7.5 to 8.5 (p
Frenotomy for posterior ankyloglossia may improve breastfeeding and nipple pain."[Résumé de l'auteur]