Literature review for - Flourish Paediatrics

Reference Dollberg et al. 2006 Srinivasan et al. 2006 Segal et al. 2007 Geddes et al. 2008
Type of study case-series (pre-test, posttestteststudies)
case-series (pre-test, post-
SLR (majority on case-
case-series (pre-test, post-test)
Level of evidence IV (intervention) IV (intervention) I (aetiology) IV (intervention)
Definition of
breastfeeding
Not stated Not stated Not stated Not stated
Intervention/
comparator
Sequence of ankyloglossia
management
Sequence one; frenotomy,
breastfeeding, sham,
breastfeeding vs Sequence
one; sham, breastfeeding,
frenotomy, breastfeeding
Frenotomy procedure Frenotomy procedure
N 25 mother-infant dyads 27 mother–infant dyads.
Follow up at 3 months was
92%
Population/study
information
Mothers referred to the
lactation clinic at the Lis
Maternity Hospital, Israel
because of nipple pain.
Infants randomized to
sequences one= 14
sequences two = 11
After each sham or
frenotomy procedure, a
latch score and pain score
was obtained.
Infants < 12 weeks were
recruited from the
Goldfarb Breastfeeding
Program between Aug
2004 and Feb 2005. All
infants had ankyloglossia
and were selected based on
the Frenotomy Decision
Rule for Breastfeeding
Infants (FDRBI) tool.
Frenotomy procedure
occurred followed by
24 studies 24 mother-infant dyads
Searched studies between
1966 -2006 on
ankyloglossia. 183 articles
found in initial search.
Case reports, case series,
retrospective studies,
prospective controlled
studies, and randomized
controlled trials were
included in the analysis.
Infants experiencing persistent
breastfeeding difficulties despite
receiving professional
advice were referred from King
Edward Memorial Hospital or
private health centres in Perth.
Mean infant age: 33 ±28 days.
Submental ultrasound scans of the
oral cavity were performed before
and >7 days after frenulotomy.
Milk transfer, pain, and
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