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The role of tongue-tie in breastfeeding problems-A prospective observational study.

Abstract

AIM

We evaluated what determined breastfeeding problems in a non-selected mother-infant cohort, with special reference to tongue-tie and improvements in breastfeeding following frenulotomy.

METHODS

This 2014-2015 prospective, observational study was carried out in a tertiary level maternity unit affiliated to the University of Freiburg, Germany, using a breastfeeding questionnaire, standardised breastfeeding scores and the Assessment Tool For Lingual Frenulum Function (ATLFF). The standard intervention was breastfeeding support, a frenulotomy for tongue-tie was performed if necessary. All cases of breastfeeding problems and, or tongue-tie, were followed up by telephone 2.5 weeks after birth.

RESULTS

We enrolled 776 newborn-mother dyads: 345 had breastfeeding problems, 116 had a tongue-tie and 30 underwent a frenulotomy. In the multivariate analysis, severe breastfeeding problems were more frequent in newborn infants with tongue-tie, with an odds ratio (OR) of 2.6 (P= 0.014). Other risk factors were: no breastfeeding experience (OR 4.4, P = 0.001), low birth weight (OR 2.9, P = 0.001), prematurity (OR 3.6, P = 0.000) and Caesarean section (OR 1.6, P = 0.023). There was a significant reduction in breastfeeding problems after frenulotomy (P = 0.01).

CONCLUSION

Tongue-tie had a significant impact on breastfeeding and so did low birth weights and prematurity. Frenulotomy proved helpful when breastfeeding problems were reported.

Authors+Show Affiliations

Division of Neonatology/Intensive Care Medicine, Department of General Pediatrics, Medical Center, University of Freiburg, Freiburg, Germany.Center for Dental Medicine, Division of Oral and Maxillofacial Surgery, Medical Center, University of Freiburg, Freiburg, Germany.Center for Dental Medicine, Division of Oral and Maxillofacial Surgery, Medical Center, University of Freiburg, Freiburg, Germany.Division of Neonatology/Intensive Care Medicine, Department of General Pediatrics, Medical Center, University of Freiburg, Freiburg, Germany.Department of Obstetrics and Gynecology, Medical Center, University of Freiburg, Freiburg, Germany.Division of Neonatology/Intensive Care Medicine, Department of General Pediatrics, Medical Center, University of Freiburg, Freiburg, Germany.Division of Neonatology/Intensive Care Medicine, Department of General Pediatrics, Medical Center, University of Freiburg, Freiburg, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31265153

Citation

Schlatter, Sara-Maria, et al. "The Role of Tongue-tie in Breastfeeding problems-A Prospective Observational Study." Acta Paediatrica (Oslo, Norway : 1992), 2019.
Schlatter SM, Schupp W, Otten JE, et al. The role of tongue-tie in breastfeeding problems-A prospective observational study. Acta Paediatr. 2019.
Schlatter, S. M., Schupp, W., Otten, J. E., Harnisch, S., Kunze, M., Stavropoulou, D., & Hentschel, R. (2019). The role of tongue-tie in breastfeeding problems-A prospective observational study. Acta Paediatrica (Oslo, Norway : 1992), doi:10.1111/apa.14924.
Schlatter SM, et al. The Role of Tongue-tie in Breastfeeding problems-A Prospective Observational Study. Acta Paediatr. 2019 Jul 2; PubMed PMID: 31265153.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of tongue-tie in breastfeeding problems-A prospective observational study. AU - Schlatter,Sara-Maria, AU - Schupp,Wiebke, AU - Otten,Jörg-Elard, AU - Harnisch,Sabine, AU - Kunze,Mirjam, AU - Stavropoulou,Dimitra, AU - Hentschel,Roland, Y1 - 2019/07/02/ PY - 2019/05/02/received PY - 2019/06/06/revised PY - 2019/07/01/accepted PY - 2019/7/3/pubmed PY - 2019/7/3/medline PY - 2019/7/3/entrez KW - Hazelbaker score KW - ankyloglossia KW - breastfeeding problems KW - frenulotomy KW - tongue-tie JF - Acta paediatrica (Oslo, Norway : 1992) JO - Acta Paediatr. N2 - AIM: We evaluated what determined breastfeeding problems in a non-selected mother-infant cohort, with special reference to tongue-tie and improvements in breastfeeding following frenulotomy. METHODS: This 2014-2015 prospective, observational study was carried out in a tertiary level maternity unit affiliated to the University of Freiburg, Germany, using a breastfeeding questionnaire, standardised breastfeeding scores and the Assessment Tool For Lingual Frenulum Function (ATLFF). The standard intervention was breastfeeding support, a frenulotomy for tongue-tie was performed if necessary. All cases of breastfeeding problems and, or tongue-tie, were followed up by telephone 2.5 weeks after birth. RESULTS: We enrolled 776 newborn-mother dyads: 345 had breastfeeding problems, 116 had a tongue-tie and 30 underwent a frenulotomy. In the multivariate analysis, severe breastfeeding problems were more frequent in newborn infants with tongue-tie, with an odds ratio (OR) of 2.6 (P= 0.014). Other risk factors were: no breastfeeding experience (OR 4.4, P = 0.001), low birth weight (OR 2.9, P = 0.001), prematurity (OR 3.6, P = 0.000) and Caesarean section (OR 1.6, P = 0.023). There was a significant reduction in breastfeeding problems after frenulotomy (P = 0.01). CONCLUSION: Tongue-tie had a significant impact on breastfeeding and so did low birth weights and prematurity. Frenulotomy proved helpful when breastfeeding problems were reported. SN - 1651-2227 UR - https://www.unboundmedicine.com/medline/citation/31265153/The_role_of_tongue-tie_in_breastfeeding_problems-A_prospective_observational_study L2 - https://doi.org/10.1111/apa.14924 DB - PRIME DP - Unbound Medicine ER -