Lingual frenulum and effect on breastfeeding in Thai newborn infants

Abstract

Tongue-tie is not uncommon and is associated with breastfeeding difficulty in newborn infants. Mothers of infants with severe tongue-tie should be closely and individually coached during breastfeeding and followed up, especially during the first critical weeks of the infant's life.

Facilitators and Barriers to Exclusive Breastfeeding in Thailand: A Narrative Review

“…The knowledge and skills of health care professionals regarding EBF were also been reported to have a positive impact on EBF rates [18]. Moreover, supportive health care services, including a 6 month post-natal check, 24 hour counselling, hotlines, home visits, telephone follow up, nurse support, breastfeeding guidelines, education programmes, breastfeeding promotion programmes and good access to healthcare in the antenatal and postpartum periods were reported as facilitators of EBF [45,50,61,68,73,74,[81][82][83]87,[93][94][95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111][112].…”

Tongue tie: The evidence for frenotomy

“…Not all breastfed infants with TT will have breast-feeding difficulties. Messner et al reported an incidence of 25% and Ngerncham et al reported incidences of 11.8% and 37.9% in moderate and severe tongue ties respectively [2,3]. It is important to note that Ngerncham et al clearly illustrated the multifactorial nature of breastfeeding problems identifying maternal nipple length/inversion and sensation of the infant's tongue on the nipple as independent risk factors for problems [3].…”

“…Messner et al reported an incidence of 25% and Ngerncham et al reported incidences of 11.8% and 37.9% in moderate and severe tongue ties respectively [2,3]. It is important to note that Ngerncham et al clearly illustrated the multifactorial nature of breastfeeding problems identifying maternal nipple length/inversion and sensation of the infant's tongue on the nipple as independent risk factors for problems [3]. O'Callahan et al demonstrated that breastfeeding difficulties can occur irrespective of whether the tongue tie is anterior or posterior, although they did note a preponderance in posterior tongue ties amongst the patient group referred [13].…”

“…The incidence of TT is reported to be 4 to 16% of neonates with a 2-3:1 male preponderance [1][2][3][4][5]. Segal et al [6] hypothesised that the lack of standardised diagnostic criteria accounts for some of the variability in the reported incidences; in addition, a genetic link has been postulated for tongue tie, so variations in the incidence may also relate to the intrinsic differences in the study populations [7].…”

Frênulo lingual e aleitamento materno: estudo descritivo

“…Such features may restrict tongue movements to varying degrees. Ankyloglossia can be classified as mild or partial, which is the most common type, and severe or complete, a rare condition in which the tongue is fused to the floor of the oral cavity (5) . Thus, in severe cases, this membrane interferes with the free movement of the tongue and the alteration in the lingual frenulum implies consequences in the functions of suction and speech.…”