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Rethinking "posterior" tongue-tie.
Breastfeed Med 2013; 8(6):503-6BM

Abstract

Currently, many clinicians who help with breastfeeding problems are diagnosing "posterior" tongue-tie in infants and performing or referring for frenotomy. In this "Speaking Out" article, I argue that the diagnosis of "posterior" tongue-tie has successfully raised awareness of the importance of impaired tongue function in breastfeeding difficulty. However, the diagnosis of "posterior" tongue-tie also applies a reductionist, medicalized theoretical frame to the complex problem of impaired tongue function, risking unintended outcomes. Impaired tongue function arises out of multiple interacting and co-evolving factors, including the interplay between social behaviors concerning breastfeeding and mother-infant biology. Consideration of theoretical frames is vital if we are to build an evidence base through efficient use of the scarce resources available for clinical breastfeeding research and minimize unintended outcomes.

Authors+Show Affiliations

Discipline of General Practice, The University of Queensland , Royal Brisbane and Women's Hospital, Herston, Queensland, Australia .

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

24143939

Citation

Douglas, Pamela Sylvia. "Rethinking "posterior" Tongue-tie." Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, vol. 8, no. 6, 2013, pp. 503-6.
Douglas PS. Rethinking "posterior" tongue-tie. Breastfeed Med. 2013;8(6):503-6.
Douglas, P. S. (2013). Rethinking "posterior" tongue-tie. Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, 8(6), pp. 503-6. doi:10.1089/bfm.2013.0103.
Douglas PS. Rethinking "posterior" Tongue-tie. Breastfeed Med. 2013;8(6):503-6. PubMed PMID: 24143939.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rethinking "posterior" tongue-tie. A1 - Douglas,Pamela Sylvia, Y1 - 2013/10/21/ PY - 2013/10/23/entrez PY - 2013/10/23/pubmed PY - 2014/7/30/medline SP - 503 EP - 6 JF - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JO - Breastfeed Med VL - 8 IS - 6 N2 - Currently, many clinicians who help with breastfeeding problems are diagnosing "posterior" tongue-tie in infants and performing or referring for frenotomy. In this "Speaking Out" article, I argue that the diagnosis of "posterior" tongue-tie has successfully raised awareness of the importance of impaired tongue function in breastfeeding difficulty. However, the diagnosis of "posterior" tongue-tie also applies a reductionist, medicalized theoretical frame to the complex problem of impaired tongue function, risking unintended outcomes. Impaired tongue function arises out of multiple interacting and co-evolving factors, including the interplay between social behaviors concerning breastfeeding and mother-infant biology. Consideration of theoretical frames is vital if we are to build an evidence base through efficient use of the scarce resources available for clinical breastfeeding research and minimize unintended outcomes. SN - 1556-8342 UR - https://www.unboundmedicine.com/medline/citation/24143939/Rethinking_"posterior"_tongue_tie_ L2 - https://www.liebertpub.com/doi/full/10.1089/bfm.2013.0103?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -