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Lingual frenotomy for breastfeeding difficulties: a prospective follow-up study.
Breastfeed Med. 2014 Jul-Aug; 9(6):286-9.BM

Abstract

INTRODUCTION

Breastfeeding difficulties are sometimes attributable to tongue-tie with short-term relief after frenotomy. Limited follow-up is available, and predictors for nonsuccessful frenotomy have not yet been found.

PATIENTS AND METHODS

We recruited 264 mother-infant dyads who underwent lingual frenotomy for breastfeeding difficulties. Data regarding the indications, anatomy of the tongue, and the response of the infant were noted by the physician. Mothers were contacted by telephone at 2 weeks, 3 months, and 6 months after frenotomy to answer a questionnaire.

RESULTS

Two weeks after frenotomy, 89% of mothers were still breastfeeding. An improvement in breastfeeding was reported by three-quarters of the mothers, but, unexpectedly, 3% reported worsening. At 3 and 6 months after the procedure, 68% and 56% of mothers were still breastfeeding, respectively. We could not find any predictor to indicate those infants in whom breastfeeding would not improve.

CONCLUSIONS

There are favorable long-term effects of frenotomy on breastfeeding. Lingual frenotomy does not always alleviate breastfeeding difficulties, and rarely worsening ensues. We could not find any predictor for successful breastfeeding after frenotomy. We speculate that because the procedure is minor, in the event of breastfeeding difficulties, lingual frenotomy should be considered as an effective tool to assist in long-term breastfeeding.

Authors+Show Affiliations

1 Department of Neonatology, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24892968

Citation

Dollberg, Shaul, et al. "Lingual Frenotomy for Breastfeeding Difficulties: a Prospective Follow-up Study." Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, vol. 9, no. 6, 2014, pp. 286-9.
Dollberg S, Marom R, Botzer E. Lingual frenotomy for breastfeeding difficulties: a prospective follow-up study. Breastfeed Med. 2014;9(6):286-9.
Dollberg, S., Marom, R., & Botzer, E. (2014). Lingual frenotomy for breastfeeding difficulties: a prospective follow-up study. Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, 9(6), 286-9. https://doi.org/10.1089/bfm.2014.0010
Dollberg S, Marom R, Botzer E. Lingual Frenotomy for Breastfeeding Difficulties: a Prospective Follow-up Study. Breastfeed Med. 2014;9(6):286-9. PubMed PMID: 24892968.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lingual frenotomy for breastfeeding difficulties: a prospective follow-up study. AU - Dollberg,Shaul, AU - Marom,Ronella, AU - Botzer,Eyal, Y1 - 2014/06/03/ PY - 2014/6/4/entrez PY - 2014/6/4/pubmed PY - 2015/3/10/medline SP - 286 EP - 9 JF - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JO - Breastfeed Med VL - 9 IS - 6 N2 - INTRODUCTION: Breastfeeding difficulties are sometimes attributable to tongue-tie with short-term relief after frenotomy. Limited follow-up is available, and predictors for nonsuccessful frenotomy have not yet been found. PATIENTS AND METHODS: We recruited 264 mother-infant dyads who underwent lingual frenotomy for breastfeeding difficulties. Data regarding the indications, anatomy of the tongue, and the response of the infant were noted by the physician. Mothers were contacted by telephone at 2 weeks, 3 months, and 6 months after frenotomy to answer a questionnaire. RESULTS: Two weeks after frenotomy, 89% of mothers were still breastfeeding. An improvement in breastfeeding was reported by three-quarters of the mothers, but, unexpectedly, 3% reported worsening. At 3 and 6 months after the procedure, 68% and 56% of mothers were still breastfeeding, respectively. We could not find any predictor to indicate those infants in whom breastfeeding would not improve. CONCLUSIONS: There are favorable long-term effects of frenotomy on breastfeeding. Lingual frenotomy does not always alleviate breastfeeding difficulties, and rarely worsening ensues. We could not find any predictor for successful breastfeeding after frenotomy. We speculate that because the procedure is minor, in the event of breastfeeding difficulties, lingual frenotomy should be considered as an effective tool to assist in long-term breastfeeding. SN - 1556-8342 UR - https://www.unboundmedicine.com/medline/citation/24892968/Lingual_frenotomy_for_breastfeeding_difficulties:_a_prospective_follow_up_study_ L2 - https://www.liebertpub.com/doi/full/10.1089/bfm.2014.0010?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -