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breast feeding tongue tie

Jennifer Billington, Iain Yardley, Manasvi Upadhyaya
BACKGROUND: Breast feeding rates in England at 3months of age are approximately 17% for exclusive breast-feeding and 55% for breast-feeds supplemented with formula. Tongue-tie (TT) in infants is cited as a significant cause of difficulty with maintaining breast-feeding. Early treatment and support can improve breast-feeding and allow infants to benefit from the many long-term benefits of breast-feeding. Our aim was to determine BF rates in infants 3months after attending our tongue-tie clinic (TTC)...
February 2018: Journal of Pediatric Surgery
Joyce E O'Shea, Jann P Foster, Colm Pf O'Donnell, Deirdre Breathnach, Susan E Jacobs, David A Todd, Peter G Davis
BACKGROUND: Tongue-tie, or ankyloglossia, is a condition whereby the lingual frenulum attaches near the tip of the tongue and may be short, tight and thick. Tongue-tie is present in 4% to 11% of newborns. Tongue-tie has been cited as a cause of poor breastfeeding and maternal nipple pain. Frenotomy, which is commonly performed, may correct the restriction to tongue movement and allow more effective breastfeeding with less maternal nipple pain. OBJECTIVES: To determine whether frenotomy is safe and effective in improving ability to feed orally among infants younger than three months of age with tongue-tie (and problems feeding)...
March 11, 2017: Cochrane Database of Systematic Reviews
Christine Manipon
BACKGROUND: Our current culture defines breastfeeding and the use of human breast milk as the preferred criterion standard for infant nutrition. Medical and health professionals have a responsibility to support breastfeeding in the mother-infant dyad. This includes the recognition of anatomical barriers to breastfeeding such as a tongue-tie, ankyloglossia. PURPOSE: The purpose of this article is to enrich and expand the clinical knowledge of health professionals about the physical assessment of ankyloglossia and its impact on breastfeeding...
April 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Jacqueline C Kent, Elizabeth Ashton, Catherine M Hardwick, Marnie K Rowan, Elisa S Chia, Kyle A Fairclough, Lalitha L Menon, Courtney Scott, Georgia Mather-McCaw, Katherine Navarro, Donna T Geddes
BACKGROUND: Persistent nipple pain is one of the most common reasons given by mothers for ceasing exclusive breastfeeding. We aimed to determine the frequency of nipple pain as a reason for consultation, the most common attributed aetiologies, and the effectiveness of the advice and treatment given. METHODS: All consultations at the Breast Feeding Centre of Western Australia (WA) were audited over two six-month periods in 2011 (n = 469) and 2014 (n = 708). Attributed cause(s) of nipple pain, microbiology results, treatment(s) advised, and resolution of pain were recorded...
September 29, 2015: International Journal of Environmental Research and Public Health
Jamshid Yousefi, Fariba Tabrizian Namini, Seyed Mohammad Ali Raisolsadat, Rowan Gillies, Azar Ashkezari, John G Meara
INTRODUCTION: Ankyloglossia is a congenital anomaly in which the lingual frenulum is unusually short and thick, thus decreasing tongue mobility. In the context of the newborn or young infant it is a subject of ongoing controversy within and between medical specialties. The controversy involves not only the definition but also the management of this anomaly. A tight lingual frenulum is considered a minor malformation by some investigators. Usual treatments for ankyloglossia include speech therapy, as well as simple frenulotomy and frenuloplasty...
March 2015: Iranian Journal of Otorhinolaryngology
Alan Emond
No abstract text is available yet for this article.
May 2015: Journal of Pediatrics
David A Todd, Monica J Hogan
BACKGROUND: In 2011, the Centenary Hospital Neonatal Department guidelines were modified and recommended delaying the division of infant tongue-tie (TT) until after 7 days of life. This paper looks at the effect of these guidelines in practice by comparing patient characteristics and breastfeeding practices before and after the change. METHODS: We used prospective data from mothers and babies who had TT division to compare breastfeeding practices in 2008 and 2011...
March 2015: Breastfeeding Review: Professional Publication of the Nursing Mothers' Association of Australia
Jeanne Cawse-Lucas, Shannon Waterman, Leilani St Anna
No evidence exists for improved latching after frenotomy, and evidence concerning improvements in maternal comfort is conflicting. At best, frenotomy improves maternal nipple pain by 10% and maternal subjective sense of improvement over the short term (0 to 2 weeks).
February 2015: Journal of Family Practice
Rosemary Dodds, Deborah Neiger
In light of the recent NCT petition to Health Minister Dr Dan Poulter MP to update guidelines for the diagnosis and treatment of tongue-tied babies to avoid stress and difficulties feeding for babies and their families, discussion has been sparked amongst mothers, midwives, health visitors and breastfeeding counsellors as to how exactly services could be improved. Access to evidence-based, family-centred care is vital to address this potentially distressing condition. But are we too quick to jump in with a diagnosis that may ultimately be of no clinical significance? This articles presents two professional perspectives on the issue and highlights the pertinent research available...
October 2014: Practising Midwife
R F Power, J F Murphy
AIMS: Currently there is debate on how best to manage young infants with tongue-tie who have breastfeeding problems. One of the challenges is the subjectivity of the outcome variables used to assess efficacy of tongue-tie division. This structured review documents how the argument has evolved. It proposes how best to assess, inform and manage mothers and their babies who present with tongue-tie related breastfeeding problems. METHODS: Databases were searched for relevant papers including Pubmed, Medline, and the Cochrane Library...
May 2015: Archives of Disease in Childhood
Arieh Riskin, Michal Mansovsky, Tzviya Coler-Botzer, Amir Kugelman, Ron Shaoul, Miri Hemo, Leslie Wolff, Sarit Harpaz, Zhana Olchov, David Bader
OBJECTIVE: This study explored clinical implications of tongue-tie (TT) on breastfeeding from the mothers' perspective and evaluated the assistance provided. MATERIALS AND METHODS: This was a single-center observational study using a structured survey. All newborns with TT born in 2005-2010 were identified; two controls without TT were assigned for each. Mothers were interviewed using a uniform structured questionnaire regarding breastfeeding experience, challenges, lactation consultation, and frenotomy, if performed...
November 2014: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Alastair Brookes, Douglas M Bowley
Tongue tie or ankyloglossia is a congenital variation characterised by a short lingual frenulum which may result in restriction of tongue movement and thus impact on function. Tongue tie division (frenotomy) in affected infants with breastfeeding problems yields objective improvements in milk production and breastfeeding characteristics, including objective scoring measures, weight gain and reductions in maternal pain. For the majority of mothers, frenotomy appears to enhance maintenance of breastfeeding. Tongue tie division is a safe procedure with minimal complications...
November 2014: Early Human Development
Alon Haham, Ronella Marom, Laurence Mangel, Eyal Botzer, Shaul Dollberg
OBJECTIVE: The prevalence of a lingual frenulum in newborn infants is reportedly 0.3-12%. The purpose of this study was to describe the prevalence of a lingual frenulum based on the Coryllos classification in nonselected newborn infants after delivery, hypothesizing that it is higher than the values reported in the literature. STUDY DESIGN: The lingual frenula of 200 healthy infants were evaluated by visual examination and palpation within the first 3 days after delivery...
November 2014: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Pawin Puapornpong, Kasem Raungrongmorakot, Visan Mahasitthiwat, Sukwadee Ketsuwan
BACKGROUND: Breastfeeding is recommended as the exclusive feeding for the first six months of the newborns life. Difficulty in latching and breastfeeding resulting from tongue-tie are believed to be a problem. OBJECTIVE: To compare the latching on between newborns with tongue-tie (ankyloglossia) and normal newborns. MATERIAL AND METHOD: The subjects were 833 normal, postpartum women who delivered without complications at HRH Princess Maha Chakri Sririndhorn Medical Center in Nakhon Nayok Province between January and June 2013...
March 2014: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
David A Todd
The division of tongue-tie (TT) in babies with feeding problems has become a more accepted procedure in recent years (Bowley & Arul 2013). Although case series reports had described the benefits of division in problematic breastfeeding (Ballard, Auer & Khoury et al 2002; Notestine 1990), it was not until randomised controlled trials (RCTs) provided significant evidence of improvement that the procedure became more accepted (Berry, Griffiths & Westcott 2012; Buryk, Bloom & Shope 2011; Dollberg et al 2006; Emond et al 2014; Hogan, Westcott & Griffiths 2005)...
July 2014: Breastfeeding Review: Professional Publication of the Nursing Mothers' Association of Australia
Jenny Ingram, Debbie Johnson, Marion Copeland, Cathy Churchill, Hazel Taylor
OBJECTIVE: to develop a breast feeding assessment tool to facilitate improved targeting of optimum positioning and attachment advice and to describe the changes seen following the release of a tongue-tie. DESIGN: development and validation of the Bristol Breastfeeding Assessment Tool (BBAT) and correlation with breast feeding self-efficacy. SETTING: maternity hospital in South West England. PARTICIPANTS: 218 breast feeds (160 mother-infant dyads); seven midwife assessors...
January 2015: Midwifery
Nagate Raghavendra Reddy, Yuvaraja Marudhappan, Renuka Devi, Sumit Narang
Ankyloglossia is an uncommon congenital oral anomaly that can cause difficulty with breast-feeding and speech articulation. For many years, the subject of ankyloglossia has been controversial with practitioners of many specialties having widely different views regarding its significance and management. This study is about a series of five cases of ankyloglossia subjected to surgical correction by frenectomy procedure. Three cases were treated with electrocautery, one case with diode laser and one case with conventional scalpel technique...
May 2014: Journal of Indian Society of Periodontology
Yasuo Ito
The aim of this systematic review was to critically examine the existing literature regarding the effectiveness of tongue-tie division in infants with ankyloglossia, using the new grades of recommendations, assessment, development, and evaluation (GRADE) rating system. A clinical question was structured according to patient, intervention, comparison, and outcome, as follows: in infants with poor breast-feeding and ankyloglossia (patient), does frenotomy (intervention), compared to lactation support alone (comparison), improve feeding (outcome)? An electronic literature search was systematically conducted from databases including PubMed, Japana Centra Revuo Medicina (Igaku Chuo Zasshi), CINAHL, and Cochrane Library using the key words "ankyloglossia," "tongue-tie," "frenotomy," and/or "breast-feeding" in English and equivalent terms in Japanese...
August 2014: Pediatrics International: Official Journal of the Japan Pediatric Society
Valerie Finigan
No abstract text is available yet for this article.
2014: Midwives
Shaul Dollberg, Ronella Marom, Eyal Botzer
INTRODUCTION: Breastfeeding difficulties are sometimes attributable to tongue-tie with short-term relief after frenotomy. Limited follow-up is available, and predictors for nonsuccessful frenotomy have not yet been found. PATIENTS AND METHODS: We recruited 264 mother-infant dyads who underwent lingual frenotomy for breastfeeding difficulties. Data regarding the indications, anatomy of the tongue, and the response of the infant were noted by the physician. Mothers were contacted by telephone at 2 weeks, 3 months, and 6 months after frenotomy to answer a questionnaire...
July 2014: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
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