دورية أكاديمية
أعرض في EDS

A cross-sectional study of breastfed infants referred for tongue tie assessment and frenotomy in one Canadian health region.

التفاصيل البيبلوغرافية
العنوان: A cross-sectional study of breastfed infants referred for tongue tie assessment and frenotomy in one Canadian health region.
المؤلفون: Lee TA; School of Pharmacy Memorial University of Newfoundland (MUN) St. John's Canada., Bishop J; Faculty of Medicine Memorial University of Newfoundland (MUN) St. John's Canada., Drover A; Faculty of Medicine Memorial University of Newfoundland (MUN) St. John's Canada., Midodzi WK; Faculty of Medicine Memorial University of Newfoundland (MUN) St. John's Canada., Twells LK; Faculty of Medicine Memorial University of Newfoundland (MUN) St. John's Canada.
المصدر: Pediatric investigation [Pediatr Investig] 2024 Feb 28; Vol. 8 (1), pp. 53-60. Date of Electronic Publication: 2024 Feb 28 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 101731527 Publication Model: eCollection Cited Medium: Internet ISSN: 2574-2272 (Electronic) Linking ISSN: 25742272 NLM ISO Abbreviation: Pediatr Investig Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Hoboken, New Jersey] : John Wiley & Sons, [2017]-
مستخلص: Importance: Tongue tie (TT) is a condition that can cause infant feeding difficulties due to restricted tongue movement. When TT presents as a significant barrier to breastfeeding, a frenotomy may be recommended. Universally accepted diagnostic criteria for TT are lacking and wide prevalence estimates are reported. New referral processes and a Frenotomy Assessment Tool were implemented in one Canadian health region to connect breastfeeding dyads with a provider for TT evaluation and frenotomy.
Objective: To determine the proportion of babies with TT as well as the frequency of frenotomy.
Methods: This cross-sectional study included infants who initiated breastfeeding at birth and were referred for TT evaluation over a 14-month period. Data were collected retrospectively by chart review and analyzed using SPSS. Factors associated with frenotomy were examined using logistic regression.
Results: Two hundred and forty-one babies were referred. Ninety-two percent ( n = 222) were diagnosed with TT and 66.0% ( n = 159) underwent frenotomy. In the multivariate model, nipple pain/trauma, inability to latch, inability to elevate tongue, and dimpling of tongue on extension were associated with frenotomy ( P < 0.05). Most referrals in our region resulted in a diagnosis of TT; however, the number of referrals was lower than expected, and of these two-thirds underwent frenotomy.
Interpretation: TT is a relatively common finding among breastfed infants. Future research should examine whether a simplified assessment tool containing the four items associated with frenotomy in our multivariate model can identify breastfed infants with TT who require frenotomy.
Competing Interests: The authors declare no conflict of interest.
(© 2024 Chinese Medical Association. Pediatric Investigation published by John Wiley & Sons Australia, Ltd on behalf of Futang Research Center of Pediatric Development.)
References: J Perinat Educ. 2016;25(4):223-231. (PMID: 30643369)
J Am Dent Assoc. 2022 Nov;153(11):1026-1040.e31. (PMID: 36307175)
Health Equity. 2017 Jun 01;1(1):96-102. (PMID: 30283838)
Paediatr Child Health. 2013 Apr;18(4):210-1. (PMID: 24421692)
Pediatr Res. 2021 Aug;90(2):259-266. (PMID: 33188284)
Laryngoscope. 2017 May;127(5):1217-1223. (PMID: 27641715)
J Hum Lact. 2019 Nov;35(4):706-712. (PMID: 30543756)
CMAJ Open. 2016 Jan 26;4(1):E33-40. (PMID: 27280112)
J Hum Lact. 2018 Feb;34(1):20-29. (PMID: 29182888)
J Hum Lact. 2016 Aug;32(3):NP9-NP18. (PMID: 25425631)
Paediatr Child Health. 2017 Oct;22(7):382-386. (PMID: 29479253)
Int Breastfeed J. 2006 Mar 09;1(1):3. (PMID: 16722609)
Int J Pediatr Otorhinolaryngol. 2018 Oct;113:156-163. (PMID: 30173975)
Can J Nurs Res. 2013 Sep;45(3):28-49. (PMID: 24236370)
Med Anthropol. 2022 May-Jun;41(4):446-459. (PMID: 35394900)
Can Fam Physician. 2007 Jun;53(6):1027-33. (PMID: 17872781)
Matern Child Nutr. 2021 Apr;17(2):e13115. (PMID: 33230939)
Paediatr Child Health. 2015 May;20(4):209-18. (PMID: 26038641)
J Hum Lact. 2015 Feb;31(1):12-4. (PMID: 25583314)
Midwifery. 2008 Sep;24(3):353-7. (PMID: 17276561)
فهرسة مساهمة: Keywords: Breastfeeding; Community health services; Nutrition; Pediatrics
تواريخ الأحداث: Date Created: 20240322 Latest Revision: 20240323
رمز التحديث: 20240323
مُعرف محوري في PubMed: PMC10951488
DOI: 10.1002/ped4.12416
PMID: 38516135
قاعدة البيانات: MEDLINE
الوصف
تدمد:2574-2272
DOI:10.1002/ped4.12416