Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital
Background: Ankyloglossia is a condition present in some newborns and can be associated with breastfeeding difficulties, leading to symptoms in the child and the mother. This study aimed to analyze the characteristics of newborns with tongue-tie and the symptoms reported by their mothers, and the sh...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Permanyer
2021-01-01
|
| Series: | Boletín Médico del Hospital Infantil de México |
| Subjects: | |
| Online Access: | https://www.bmhim.com/frame_esp.php?id=254 |
| _version_ | 1818907813796118528 |
|---|---|
| author | Paula M. Barberá-Pérez Montserrat Sierra-Colomina Nyulyufer Deyanova-Alyosheva Mariano Plana-Fernández Paula Lalaguna-Mallada |
| author_facet | Paula M. Barberá-Pérez Montserrat Sierra-Colomina Nyulyufer Deyanova-Alyosheva Mariano Plana-Fernández Paula Lalaguna-Mallada |
| author_sort | Paula M. Barberá-Pérez |
| collection | DOAJ |
| description | Background: Ankyloglossia is a condition present in some newborns and can be associated with breastfeeding difficulties, leading to symptoms in the child and the mother. This study aimed to analyze the characteristics of newborns with tongue-tie and the symptoms reported by their mothers, and the short and long-term outcomes of frenotomy. Methods: We conducted a prospective and observational 7-month study in a Baby-Friendly Hospital (BFH). We included all the breastfed newborns without comorbidities that underwent a frenotomy. Results: A total of 33 frenotomies were performed. The most common findings before the procedure were maternal breastfeeding pain (29/33), ineffective latch (18/33), and maternal nipple lesions (18/33). We observed that newborns surgically intervened later showed a high incidence of jaundice (p = 0.03), weight loss greater than 10% at hospital discharge (p = 0.004), and their mothers experienced pain more often (p = 0.004). At one month of age, there was an improvement in breastfeeding-related pain (p = 0.012) and its intensity (p = 0.016), the presence of maternal cracked nipples (p < 0.01), and latching on (p < 0.01). Conclusions: Ankyloglossia can prevent the correct establishment of breastfeeding. Frenotomy is associated with few complications, and when appropriately indicated, may have a positive impact on breastfeeding, reducing maternal pain, the presence of nipple lesions, and latching problems. |
| first_indexed | 2024-12-19T22:01:05Z |
| format | Article |
| id | doaj.art-be73e994a0044318a5044b477f1bf4d5 |
| institution | Directory Open Access Journal |
| issn | 0539-6115 |
| language | English |
| last_indexed | 2024-12-19T22:01:05Z |
| publishDate | 2021-01-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Boletín Médico del Hospital Infantil de México |
| spelling | doaj.art-be73e994a0044318a5044b477f1bf4d52022-12-21T20:04:10ZengPermanyerBoletín Médico del Hospital Infantil de México0539-61152021-01-0178510.24875/BMHIM.20000391Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly HospitalPaula M. Barberá-Pérez0Montserrat Sierra-Colomina1Nyulyufer Deyanova-Alyosheva2Mariano Plana-Fernández3Paula Lalaguna-Mallada4Servicio de Pediatría, Hospital de Barbastro, Huesca, SpainServicio de Pediatría, Hospital de Barbastro, Huesca, SpainEnfermería del Servicio de Pediatría. Hospital de Barbastro, Huesca, SpainServicio de Pediatría, Hospital de Barbastro, Huesca, SpainServicio de Pediatría, Hospital de Barbastro, Huesca, SpainBackground: Ankyloglossia is a condition present in some newborns and can be associated with breastfeeding difficulties, leading to symptoms in the child and the mother. This study aimed to analyze the characteristics of newborns with tongue-tie and the symptoms reported by their mothers, and the short and long-term outcomes of frenotomy. Methods: We conducted a prospective and observational 7-month study in a Baby-Friendly Hospital (BFH). We included all the breastfed newborns without comorbidities that underwent a frenotomy. Results: A total of 33 frenotomies were performed. The most common findings before the procedure were maternal breastfeeding pain (29/33), ineffective latch (18/33), and maternal nipple lesions (18/33). We observed that newborns surgically intervened later showed a high incidence of jaundice (p = 0.03), weight loss greater than 10% at hospital discharge (p = 0.004), and their mothers experienced pain more often (p = 0.004). At one month of age, there was an improvement in breastfeeding-related pain (p = 0.012) and its intensity (p = 0.016), the presence of maternal cracked nipples (p < 0.01), and latching on (p < 0.01). Conclusions: Ankyloglossia can prevent the correct establishment of breastfeeding. Frenotomy is associated with few complications, and when appropriately indicated, may have a positive impact on breastfeeding, reducing maternal pain, the presence of nipple lesions, and latching problems.https://www.bmhim.com/frame_esp.php?id=254Ankyloglossia. Tongue-tie. Frenotomy. Breastfeeding. Lactation. |
| spellingShingle | Paula M. Barberá-Pérez Montserrat Sierra-Colomina Nyulyufer Deyanova-Alyosheva Mariano Plana-Fernández Paula Lalaguna-Mallada Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital Boletín Médico del Hospital Infantil de México Ankyloglossia. Tongue-tie. Frenotomy. Breastfeeding. Lactation. |
| title | Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital |
| title_full | Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital |
| title_fullStr | Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital |
| title_full_unstemmed | Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital |
| title_short | Prevalence of ankyloglossia in newborns and impact of frenotomy in a Baby-Friendly Hospital |
| title_sort | prevalence of ankyloglossia in newborns and impact of frenotomy in a baby friendly hospital |
| topic | Ankyloglossia. Tongue-tie. Frenotomy. Breastfeeding. Lactation. |
| url | https://www.bmhim.com/frame_esp.php?id=254 |
| work_keys_str_mv | AT paulambarberaperez prevalenceofankyloglossiainnewbornsandimpactoffrenotomyinababyfriendlyhospital AT montserratsierracolomina prevalenceofankyloglossiainnewbornsandimpactoffrenotomyinababyfriendlyhospital AT nyulyuferdeyanovaalyosheva prevalenceofankyloglossiainnewbornsandimpactoffrenotomyinababyfriendlyhospital AT marianoplanafernandez prevalenceofankyloglossiainnewbornsandimpactoffrenotomyinababyfriendlyhospital AT paulalalagunamallada prevalenceofankyloglossiainnewbornsandimpactoffrenotomyinababyfriendlyhospital |