Literature review for - Flourish Paediatrics

epeat latch and pain
assessments.
A telephone questionnaire
was administered 3
months post frenotomy
LATCH scores were
recorded before and after
frenulotomy.
Infant milk intake was measured
by using the
test-weigh method.
Quality N 0 (No to 7.6) P 0 (No to 2.3, 7.6)
Results
Significant decrease in
pain score after frenotomy
than after sham pain score
(P=.001).
Criteria used for
identifying
ankyloglossia varied
greatly in all studies.
In the 25 mothers who
were treated because of
pain or nipple trauma, pain
score decreased from 7.1 ±
1.9 to 5.3 ± 2.2 after
frenotomy
Improvement in mean
latch score, according to
the LATCH tool, between
pre-frenotomy and postfrenotomy
= 2.5 (2.038,
2.925)
Decrease in mean pain
rating, according to pain
rating index tool, between
pre-frenotomy and postfrenotomy
= 11.4 (-15.544,
-7.345)
5 studies (using different
diagnostic criteria) found a
prevalence of
ankyloglossia of between
4% and 10%.
The results of 6 nonrandomized
studies and 1
randomized study
assessing the effectiveness
of
frenotomy for improving
nipple pain, sucking, latch,
and continuation of
breastfeeding all suggested
frenotomy was beneficial.
No serious adverse events
were reported.
Characteristics of the Breastfeed
Infants Monitored Before and>7
Days After Frenulotomy
Variable
Milk
intake
Milk
transfer
(mL/min)
LATCH
score
Pain
score
Prefrenuloto
my
Postfrenulotom
y
69.1±31.9 g
50.5±29.1
g
5.6±3.0 g 10.5±5.5 g
7.9±1.4 9.4±0.8
3.6±3.0 0.5±1.2
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