Literature review for - Flourish Paediatrics

Effect on risk
Ankyloglossia affects
breastfeeding in selected
infants.
Ankyloglossia is a relatively
common finding in infants
and is frequently associated
with poor infant latch and
maternal nipple pain.
Frenuloplasty, in the
presence of significant
ankyloglossia, seems to be a
successful approach to the
facilitation of breastfeeding.
improved feeding
(according to mothers
assessment of efficiency
of the latch, nipple pain,
infant’s feeding and sleeping
cycle) immediately
174/215 (80%) had
improved feeding at 24 h
139/215 (65%) were still
breastfed at 3 mo (any
breastfeeding)
204/215 could extend
tongue out of mouth at 3 mo
Division of tongue ties and
subsequent support by a
qualified lactation
consultant,
might ensure that even more
mothers and infants benefit
from breastfeeding
babies
Clinical 4 4 4 4
importance
Clinical 1 1 1 1
relevance
Generalisability Y – US Y- US Y- UK Y – UK
Applicability Y Y Y Y
Tongue-ties can affect
feeding. Divisions are safe,
successful and improve
feeding for mother and
baby significantly better
than the intensive skilled
support of a lactation
consultant.
275