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The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital.
Pediatr Surg Int 2016; 32(10):945-52PS

Abstract

PURPOSE

To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up.

METHODS

A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numeric rating scale and LATCH score, respectively, and compared between pre and post-operatively at 24 h and 1 week. The success rate of EBF was assessed at 3 months after frenulotomy.

RESULTS

Nipple pain score were significantly decreased (median difference = 3 and 4, P < 0.001) and LATCH score were significantly increased (mean difference = 1.92 and 2.13, P < 0.001) at 24 h and 1 week post-operatively. At 3 months, a success rate of EBF was 66.67 %. Multivariable analysis clustering by maternal age of 18 years was performed. Factors that were significantly (P < 0.05) associated with the success were: girls, age at surgery ≤24 h, higher number of children in family, low birth weight, tongue-tie severity, nipple grading, LATCH score ≥8 and nipple sensation at 1 week after surgery.

CONCLUSION

Frenulotomy could significantly reduce nipple pain and increase LATCH score in tongue-tied infants with breastfeeding difficulty. Several factors are positively associated with the success of EBF. Tongue-tie severity, LATCH score and nipple sensation were the factors that can be modified by frenulotomy.

Authors+Show Affiliations

Division of Pediatric Surgery, Department of Surgery, Thammasat University Hospital, 95/8, Khlongnueng Sub-district, Khlongluang District, Pathumthani Province, 12120, Thailand. j_wakhanrittee@hotmail.com.Division of Pediatric Surgery, Department of Surgery, Chiang Mai University Hospital, Chiang Mai, Thailand.Division of Pediatric Surgery, Department of Surgery, Thammasat University Hospital, 95/8, Khlongnueng Sub-district, Khlongluang District, Pathumthani Province, 12120, Thailand.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27484410

Citation

Wakhanrittee, Junsujee, et al. "The Outcomes of a Frenulotomy On Breastfeeding Infants Followed Up for 3 Months at Thammasat University Hospital." Pediatric Surgery International, vol. 32, no. 10, 2016, pp. 945-52.
Wakhanrittee J, Khorana J, Kiatipunsodsai S. The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital. Pediatr Surg Int. 2016;32(10):945-52.
Wakhanrittee, J., Khorana, J., & Kiatipunsodsai, S. (2016). The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital. Pediatric Surgery International, 32(10), pp. 945-52. doi:10.1007/s00383-016-3952-8.
Wakhanrittee J, Khorana J, Kiatipunsodsai S. The Outcomes of a Frenulotomy On Breastfeeding Infants Followed Up for 3 Months at Thammasat University Hospital. Pediatr Surg Int. 2016;32(10):945-52. PubMed PMID: 27484410.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital. AU - Wakhanrittee,Junsujee, AU - Khorana,Jiraporn, AU - Kiatipunsodsai,Siriphut, Y1 - 2016/08/02/ PY - 2016/07/23/accepted PY - 2016/8/4/entrez PY - 2016/8/4/pubmed PY - 2017/3/28/medline KW - Breastfeeding success rate KW - Exclusive breastfeeding KW - Frenulotomy KW - Tongue-tie SP - 945 EP - 52 JF - Pediatric surgery international JO - Pediatr. Surg. Int. VL - 32 IS - 10 N2 - PURPOSE: To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up. METHODS: A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numeric rating scale and LATCH score, respectively, and compared between pre and post-operatively at 24 h and 1 week. The success rate of EBF was assessed at 3 months after frenulotomy. RESULTS: Nipple pain score were significantly decreased (median difference = 3 and 4, P < 0.001) and LATCH score were significantly increased (mean difference = 1.92 and 2.13, P < 0.001) at 24 h and 1 week post-operatively. At 3 months, a success rate of EBF was 66.67 %. Multivariable analysis clustering by maternal age of 18 years was performed. Factors that were significantly (P < 0.05) associated with the success were: girls, age at surgery ≤24 h, higher number of children in family, low birth weight, tongue-tie severity, nipple grading, LATCH score ≥8 and nipple sensation at 1 week after surgery. CONCLUSION: Frenulotomy could significantly reduce nipple pain and increase LATCH score in tongue-tied infants with breastfeeding difficulty. Several factors are positively associated with the success of EBF. Tongue-tie severity, LATCH score and nipple sensation were the factors that can be modified by frenulotomy. SN - 1437-9813 UR - https://www.unboundmedicine.com/medline/citation/27484410/The_outcomes_of_a_frenulotomy_on_breastfeeding_infants_followed_up_for_3_months_at_Thammasat_University_Hospital_ L2 - https://dx.doi.org/10.1007/s00383-016-3952-8 DB - PRIME DP - Unbound Medicine ER -