Symptoms of problematic feeding in infants under 1 year of age undergoing frenotomy: A review article

Hill, Rebecca R.; Pados, Britt Frisk

doi:10.1111/apa.15473

Cited by 13 publications

(12 citation statements)

References 54 publications

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“…The most common symptoms were consistent with those described in previously published research. 7 For mothers reporting these symptoms, evaluation of a breastfeeding session to examine latch, position, and infant ability to sustain a breastfeeding session will assist providers in identifying differential diagnoses such as tongue-tie, or breastfeeding mechanics that can be adjusted to reduce maternal discomfort. With the significant decrease in maternal symptoms post-frenotomy without other intervention, tongue-tie should be considered as a potential cause of painful or difficult latching or infant chewing on the nipple during feeding.…”

Section: Discussionmentioning

confidence: 99%

“… 7 While researchers have explored maternal symptoms, such as nipple pain 8 - 13 more evidence is needed to examine the effects of frenotomy on the mother-infant dyad. 7 Current studies evaluating frenotomy for the treatment of tongue-tie lack the methodological rigor necessary to promote a change in screening, assessment, and treatment guidelines. 14 A recent study reported an 866% increase in frenotomy rates from 1997 to 2012.…”

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confidence: 99%

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Effect of Frenotomy on Maternal Breastfeeding Symptoms and the Relationship Between Maternal Symptoms and Problematic Infant Feeding

Hill

Lyons

Kelly‐Weeder

et al. 2022

Global Pediatric Health

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The relationship between maternal symptoms and problematic infant feeding in the context of tongue-tie is unknown. In a sample of infants with tongue-tie undergoing frenotomy and their mothers, the aims of this study were to: (1) describe changes in maternal symptoms pre- and post-frenotomy, and (2) evaluate the relationships between maternal symptoms and symptoms of problematic feeding pre- and post-frenotomy. Mother-infant dyads were recruited from 1 pediatric dental office between July and November 2020. The sample included 102 mother-infant dyads; 84 completed the follow-up survey. Maternal symptoms of painful and difficult latch, creased/cracked nipples, bleeding, or abraded nipples, chewing of the nipple, and feelings of depression were significantly less common after tongue-tie revision. Poor latch onto the breast was associated with feeding difficulties at both time points. Frenotomy resulted in a decrease of symptoms in breastfeeding mothers. Maternal symptoms and feeding problems persisting post-frenotomy warrant further evaluation.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Effect of Frenotomy on Maternal Breastfeeding Symptoms and the Relationship Between Maternal Symptoms and Problematic Infant Feeding

Hill

Lyons

Kelly‐Weeder

et al. 2022

Global Pediatric Health

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“…Durante a amamentação, essa restrição impede a pega efetiva na mama. Quando a pega é prejudicada, pode ocorrer dor no mamilo materno, diminuição da transferência de leite e dificuldades na alimentação do bebê (Hill & Pados, 2020).…”

Section: Anquiloglossia (Aql)unclassified

Anquiloglossia e frenotomia lingual em neonatos: protocolo de revisão de escopo

Zander

Kluthcovsky²,

Amaral³

et al. 2023

RSD

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Este artigo apresenta o protocolo de revisão de escopo acerca dos métodos de avaliação da anquiloglossia em neonatos submetidos a cirurgia de frenotomia, nos últimos cinco anos, com foco nos protocolos diagnósticos para decisão de intervenção cirúrgica, resultados pós-operatórios da frenotomia lingual e períodos de proservação. O protocolo tem como objetivo documentar os processos afetos ao planejamento e condução metodológica de uma extensão revisão de escopo, orientado pelas diretrizes do Joanna Briggs Institute (JBI). O protocolo da revisão foi elaborado seguindo os itens do PRISMA Extension for Scopings Reviews (PRISMA-ScR): Checklist and Explanation. O mesmo foi registrado no Open Science Framework.

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“…It is frequently associated with pain for the breastfeeding mother due to improper latch and increased friction of the tongue on the breast nipple. 2 Gastrointestinal (GI) distress can be the result of improper swallowing or excess ingestion of air (aerophagia). Although nonspecific, GI discomfort in infants can be distressing to parents.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal Symptom Improvement for Infants Following Tongue-Tie Correction

Hill

2022

Clin Pediatr (Phila)

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Treatment of tongue-tie in infants suggests improvements for breastfeeding mothers, including reduced nipple pain and improved latching onto the breast. The effects of frenotomy on infant feeding and gastrointestinal dysfunction remain controversial, with insufficient evidence on the relationship between tongue-tie and disorders of the gastrointestinal tract. The purpose of this study was to compare symptoms of gastrointestinal (GI) distress and gastroesophageal reflux (GER) prior to and 2 weeks following frenotomy in infants with tongue-tie. Parents were surveyed prior to frenotomy and 2 weeks post procedure, using the Gastrointestinal and Gastroesophageal Reflux (GIGER) Scale for Infants and Toddlers. Eighty-four participants completed surveys at both time points, with significant improvements in GI and GER symptoms 2 weeks after frenotomy. Younger infants and those with more severe tongue-tie had the greatest improvements in GI and GER symptoms. Infants with tongue-tie and symptoms of GI tract distress may experience improvement in symptoms after frenotomy.

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Symptoms of problematic feeding in infants under 1 year of age undergoing frenotomy: A review article

Cited by 13 publications

References 54 publications

Effect of Frenotomy on Maternal Breastfeeding Symptoms and the Relationship Between Maternal Symptoms and Problematic Infant Feeding

Effect of Frenotomy on Maternal Breastfeeding Symptoms and the Relationship Between Maternal Symptoms and Problematic Infant Feeding

Anquiloglossia e frenotomia lingual em neonatos: protocolo de revisão de escopo

Gastrointestinal Symptom Improvement for Infants Following Tongue-Tie Correction

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