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Evidence of improved milk intake after frenotomy: a case report.
Pediatrics 2013; 132(5):e1413-7Ped

Abstract

Ankyloglossia (tongue tie) is a well-recognized cause of breastfeeding difficulties and, if untreated, can cause maternal nipple pain and trauma, ineffective feeding, and poor infant weight gain. In some cases, this condition will result in a downregulation of the maternal milk supply. Milk-production measurements (24-hour) for a breastfeeding infant with ankyloglossia revealed the ineffective feeding of the infant (78 mL/24 hours), and a low milk supply (350 mL/24 hours) was diagnosed. Appropriate management increased milk supply (1254 mL/24 hours) but not infant milk intake (190 mL/24 hours). Test weighing convincingly revealed the efficacy of frenotomy, increasing breastfeeding milk transfer from 190 to 810 mL/24 hours. Postfrenotomy, breastfeeding almost completely replaced bottle-feeding of expressed breast milk. This case study confirms that ankyloglossia may reduce maternal milk supply and that frenotomy can improve milk removal by the infant. Milk-production measurements (24-hour) provided the evidence to confirm these findings.

Authors+Show Affiliations

CNM, IBCLC, School of Chemistry and Biochemistry, Faculty of Life and Physical Sciences, M310, The University of Western Australia, 35 Stirling Hwy, Crawley, Western Australia 6009. cathygarbin@cathygarbin.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24101770

Citation

Garbin, Catherine Peta, et al. "Evidence of Improved Milk Intake After Frenotomy: a Case Report." Pediatrics, vol. 132, no. 5, 2013, pp. e1413-7.
Garbin CP, Sakalidis VS, Chadwick LM, et al. Evidence of improved milk intake after frenotomy: a case report. Pediatrics. 2013;132(5):e1413-7.
Garbin, C. P., Sakalidis, V. S., Chadwick, L. M., Whan, E., Hartmann, P. E., & Geddes, D. T. (2013). Evidence of improved milk intake after frenotomy: a case report. Pediatrics, 132(5), pp. e1413-7. doi:10.1542/peds.2012-2651.
Garbin CP, et al. Evidence of Improved Milk Intake After Frenotomy: a Case Report. Pediatrics. 2013;132(5):e1413-7. PubMed PMID: 24101770.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evidence of improved milk intake after frenotomy: a case report. AU - Garbin,Catherine Peta, AU - Sakalidis,Vanessa Susanna, AU - Chadwick,Lynda Maree, AU - Whan,Elizabeth, AU - Hartmann,Peter Edwin, AU - Geddes,Donna Tracy, Y1 - 2013/10/07/ PY - 2013/10/9/entrez PY - 2013/10/9/pubmed PY - 2014/1/15/medline KW - ankyloglossia KW - breastfeeding KW - frenotomy KW - frenulotomy KW - lactation KW - milk production KW - nipple confusion KW - tongue tie SP - e1413 EP - 7 JF - Pediatrics JO - Pediatrics VL - 132 IS - 5 N2 - Ankyloglossia (tongue tie) is a well-recognized cause of breastfeeding difficulties and, if untreated, can cause maternal nipple pain and trauma, ineffective feeding, and poor infant weight gain. In some cases, this condition will result in a downregulation of the maternal milk supply. Milk-production measurements (24-hour) for a breastfeeding infant with ankyloglossia revealed the ineffective feeding of the infant (78 mL/24 hours), and a low milk supply (350 mL/24 hours) was diagnosed. Appropriate management increased milk supply (1254 mL/24 hours) but not infant milk intake (190 mL/24 hours). Test weighing convincingly revealed the efficacy of frenotomy, increasing breastfeeding milk transfer from 190 to 810 mL/24 hours. Postfrenotomy, breastfeeding almost completely replaced bottle-feeding of expressed breast milk. This case study confirms that ankyloglossia may reduce maternal milk supply and that frenotomy can improve milk removal by the infant. Milk-production measurements (24-hour) provided the evidence to confirm these findings. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/24101770/Evidence_of_improved_milk_intake_after_frenotomy:_a_case_report_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=24101770 DB - PRIME DP - Unbound Medicine ER -