What does the world think of ankyloglossia?

Jin, Ruilin R.; Sutcliffe, Alastair; Vento, Máximo; Miles, Claudelle; Travadi, Javeed; Kenchappa, Kumar; Suzuki, Keiji; Todd, David A; Wooderson, Susanne; Kamar, Azanna Ahmad; Ma, Li; Smyth, John; Oei, Ju Lee

doi:10.1111/apa.14242

Cited by 31 publications

(45 citation statements)

References 25 publications

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“…Ganesan and colleagues [21] found that many health professionals have limited knowledge about tongue-tie. Medical practitioners have consistently been shown to disregard tongue-tie and deny the impact on breastfeeding problems [22,23]. Yet women in this study reported decreased pain with breastfeeding, and improved satisfaction, after the release of their infant tongue-tie.…”

Section: Inadequate Health Professional Supportmentioning

confidence: 67%

Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey

2020

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Background In Australia, during the early establishment phase of breastfeeding, women can access telephone peer support counselling provided by the Australian Breastfeeding Association (ABA) however options for face-to-face peer support are limited. The known factors which improve ongoing and exclusive breastfeeding include face-to-face support, peer and/or professional support, and trained personnel. This study aimed to examine women’s experiences of accessing one breastfeeding drop-in peer support service provided by trained peer support volunteer counsellors from the ABA. Methods Women who accessed the service were invited, in 2014, to participate in an anonymous online survey which collected both quantitative and qualitative data. Participants were asked about their experiences of breastfeeding support, as well as their experiences of the drop-in service. In total, 53 women completed the online survey, and subsequent analysis generated descriptive statistics and qualitative themes. Results Responses to the survey revealed that women attended the drop-in service with infants ranging in age from less than 1 week through to 12 months of age. Most women reported attending with infants aged 0–8 weeks of age (72%). The predominant presenting problems identified were sore/damaged nipples, difficulties with infant latching to the breast, or concerns about using nipple shields. Analysis of the open text qualitative responses revealed one overarching theme ‘Support to continue breastfeeding’ and four subthemes: ‘feeling listened to and not judged’; ‘emotional support and confidence building’; ‘the importance of face-to-face, practical support’; and ‘the need for ongoing, free access’. Discussion In this study many women were seeking support for ongoing breastfeeding difficulties. Health professionals who had limited breastfeeding knowledge and skills were identified as most unhelpful in providing support with ongoing breastfeeding difficulties. Women valued having access to trained peer counsellors, who had the capacity to provide non-judgemental, face-to-face support; who could sit through a feed; in a space that was ‘safe’; and who could enhance a woman’s confidence with breastfeeding over the course of her full breastfeeding journey. Conclusions Reactive peer support, provided in response to need, at an Australian Breastfeeding Association drop-in service, was described by participants as pivotal to enabling their ongoing breastfeeding.

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Section: Inadequate Health Professional Supportmentioning

confidence: 67%

Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey

2020

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“…As there is increasing awareness, diagnosis, and treatment of ankyloglossia globally, there is a need for common definitions. 3,4,6,[13][14][15][16] With regard to defining ankyloglossia, this panel mirrors the disagreements and uncertainty of the medical community. The panel achieved clear consensus in describing ankyloglossia as a ''condition of limited tongue mobility caused by a restrictive lingual frenulum'' ( Table 1).…”

Section: Ankyloglossia (General)mentioning

confidence: 99%

Clinical Consensus Statement: Ankyloglossia in Children

Messner

Walsh

Rosenfeld

et al. 2020

Otolaryngol.--head neck surg.

113

157

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Objective To identify and seek consensus on issues and controversies related to ankyloglossia and upper lip tie in children by using established methodology for American Academy of Otolaryngology–Head and Neck Surgery clinical consensus statements. Methods An expert panel of pediatric otolaryngologists was assembled with nominated representatives of otolaryngology organizations. The target population was children aged 0 to 18 years, including breastfeeding infants. A modified Delphi method was used to distill expert opinion into clinical statements that met a standardized definition of consensus, per established methodology published by the American Academy of Otolaryngology–Head and Neck Surgery. Results After 3 iterative Delphi method surveys of 89 total statements, 41 met the predefined criteria for consensus, 17 were near consensus, and 28 did not reach consensus. The clinical statements were grouped into several categories for the purposes of presentation and discussion: ankyloglossia (general), buccal tie, ankyloglossia and sleep apnea, ankyloglossia and breastfeeding, frenotomy indications and informed consent, frenotomy procedure, ankyloglossia in older children, and maxillary labial frenulum. Conclusion This expert panel reached consensus on several statements that clarify the diagnosis, management, and treatment of ankyloglossia in children 0 to 18 years of age. Lack of consensus on other statements likely reflects knowledge gaps and lack of evidence regarding the diagnosis, management, and treatment of ankyloglossia. Expert panel consensus may provide helpful information for otolaryngologists treating patients with ankyloglossia.

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Section: Inadequate Health Professional Supportmentioning

confidence: 67%

Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey

Burns

Duursma

Triandafilidis

2020

Preprint

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BackgroundIn Australia, during the early establishment phase of breastfeeding, women can access telephone peer support counselling provided by the Australian Breastfeeding Association (ABA) however options for face-to-face peer support are limited. The known factors which improve ongoing and exclusive breastfeeding include face-to-face support, peer and/or professional support, and trained personnel. This study aimed to examine women’s experiences of accessing one breastfeeding drop-in peer support service provided by trained peer support volunteer counsellors from the ABA.MethodsWomen who accessed the service were invited, in 2014, to participate in an anonymous online survey which collected both quantitative and qualitative data. Participants were asked about their experiences of breastfeeding support, as well as their experiences of the drop-in service. In total, 53 women completed the online survey, and subsequent analysis generated descriptive statistics and qualitative themes.ResultsResponses to the survey revealed that women attended the drop-in service with infants ranging in age from less than 1 week through to 12 months of age. Most women reported attending with infants aged 0-8 weeks of age (72%). The predominant presenting problems identified were sore/damaged nipples, difficulties with infant latching to the breast, or concerns about using nipple shields. Analysis of the open text qualitative responses revealed one overarching theme ‘Support to continue breastfeeding’ and four subthemes: ‘feeling listened to and not judged’; ‘emotional support and confidence building’; ‘the importance of face-to-face, practical support'; and ‘the need for ongoing, free access’.DiscussionIn this study many women were seeking support for ongoing breastfeeding difficulties. Health professionals who had limited breastfeeding knowledge and skills were identified as most unhelpful in providing support with ongoing breastfeeding difficulties. Women valued having access to trained peer counsellors, who had the capacity to provide non-judgemental, face-to-face support; who could sit through a feed; in a space that was ‘safe’; and who could enhance a woman’s confidence with breastfeeding over the course of her full breastfeeding journey. ConclusionReactive peer support, provided in response to need, at an Australian Breastfeeding Association drop-in service, was described by participants as pivotal to enabling their ongoing breastfeeding.

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What does the world think of ankyloglossia?

Abstract: The diagnosis and treatment of ankyloglossia vary considerably around the world and between professions. Efforts to standardise management are required.

Cited by 31 publications

References 25 publications

Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey

Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey

Clinical Consensus Statement: Ankyloglossia in Children

Breastfeeding support at an Australian Breastfeeding Association drop-in service: a descriptive survey

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