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Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch.
Breastfeed Med 2006; 1(4):216-24BM

Abstract

OBJECTIVE

The aim of this study was to measure the effectiveness of frenotomy in ankyloglossic infants, by quantifying the changes in latch and maternal nipple pain using standardized tools.

METHODOLOGY

Infants below 12 weeks of age were recruited from the Goldfarb Breastfeeding Program between August 2004 and February 2005. Infants were selected based on the Frenotomy Decision Rule for Breastfeeding Infants (FDRBI), a new clinical tool for future validation. Latch was assessed using the Latch Tool. Maternal nipple pain was assessed using R. Melzack's Short Form McGill Pain Questionnaire, consisting of the Pain Rating Index (PRI) and Present Pain Intensity (PPI). Frenotomy was performed, followed by repeat latch and pain assessments. Mothers also received breastfeeding counseling throughout and after the procedure. A telephone questionnaire was administered 3 months later.

RESULTS

Twenty-seven (27) mother-infant dyads participated in the study. No complications were seen with frenotomy. All infants had an equal or higher latch score after frenotomy, with an improvement in mean latch score of 2.5 (p < 0.0001, 95% confidence interval [CI], 2.038, 2.925). Maternal pain scores decreased significantly after frenotomy, with mean improvements of -11.4 points (p < 0.0001, 95% CI, -15.544, -7.345) on the PRI subscale and -1.5 points (p < 0.0001, 95% CI, -1.952, -1.011) on the PPI subscale. Seventy-seven point eight percent (77.8%) of subjects were still breastfeeding after 3 months; 92% were pain free after 3 months; and 88% felt the frenotomy had helped them.

CONCLUSION

Timely frenotomy and breastfeeding counseling is an effective intervention, improving latch and decreasing nipple pain.

Authors+Show Affiliations

Department of Family Medicine, McGill University, Montreal, Canada. Anjana2000@yahoo.com <Anjana2000@yahoo.com>No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17661602

Citation

Srinivasan, Anjana, et al. "Ankyloglossia in Breastfeeding Infants: the Effect of Frenotomy On Maternal Nipple Pain and Latch." Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, vol. 1, no. 4, 2006, pp. 216-24.
Srinivasan A, Dobrich C, Mitnick H, et al. Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch. Breastfeed Med. 2006;1(4):216-24.
Srinivasan, A., Dobrich, C., Mitnick, H., & Feldman, P. (2006). Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch. Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, 1(4), pp. 216-24.
Srinivasan A, et al. Ankyloglossia in Breastfeeding Infants: the Effect of Frenotomy On Maternal Nipple Pain and Latch. Breastfeed Med. 2006;1(4):216-24. PubMed PMID: 17661602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch. AU - Srinivasan,Anjana, AU - Dobrich,Carole, AU - Mitnick,Howard, AU - Feldman,Perle, PY - 2007/7/31/pubmed PY - 2007/9/11/medline PY - 2007/7/31/entrez SP - 216 EP - 24 JF - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JO - Breastfeed Med VL - 1 IS - 4 N2 - OBJECTIVE: The aim of this study was to measure the effectiveness of frenotomy in ankyloglossic infants, by quantifying the changes in latch and maternal nipple pain using standardized tools. METHODOLOGY: Infants below 12 weeks of age were recruited from the Goldfarb Breastfeeding Program between August 2004 and February 2005. Infants were selected based on the Frenotomy Decision Rule for Breastfeeding Infants (FDRBI), a new clinical tool for future validation. Latch was assessed using the Latch Tool. Maternal nipple pain was assessed using R. Melzack's Short Form McGill Pain Questionnaire, consisting of the Pain Rating Index (PRI) and Present Pain Intensity (PPI). Frenotomy was performed, followed by repeat latch and pain assessments. Mothers also received breastfeeding counseling throughout and after the procedure. A telephone questionnaire was administered 3 months later. RESULTS: Twenty-seven (27) mother-infant dyads participated in the study. No complications were seen with frenotomy. All infants had an equal or higher latch score after frenotomy, with an improvement in mean latch score of 2.5 (p < 0.0001, 95% confidence interval [CI], 2.038, 2.925). Maternal pain scores decreased significantly after frenotomy, with mean improvements of -11.4 points (p < 0.0001, 95% CI, -15.544, -7.345) on the PRI subscale and -1.5 points (p < 0.0001, 95% CI, -1.952, -1.011) on the PPI subscale. Seventy-seven point eight percent (77.8%) of subjects were still breastfeeding after 3 months; 92% were pain free after 3 months; and 88% felt the frenotomy had helped them. CONCLUSION: Timely frenotomy and breastfeeding counseling is an effective intervention, improving latch and decreasing nipple pain. SN - 1556-8342 UR - https://www.unboundmedicine.com/medline/citation/17661602/Ankyloglossia_in_breastfeeding_infants:_the_effect_of_frenotomy_on_maternal_nipple_pain_and_latch_ L2 - https://www.liebertpub.com/doi/full/10.1089/bfm.2006.1.216?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -