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dc.contributor.authorCampbell, J
dc.date.accessioned2021-03-09T04:45:30Z
dc.date.available2021-03-09T04:45:30Z
dc.date.issued2019
dc.identifier.issn0020-7489
dc.identifier.doi10.1016/j.ijnurstu.2018.03.022
dc.identifier.urihttp://hdl.handle.net/10072/403006
dc.description.abstractBackground: Tongue-tie (ankylglossia) occurs when there is an anterior attachment near the tip of the tongue resulting in restricted tongue movement. It is reported to be a cause of poor breastfeeding in infants and nipple pain in breastfeeding mothers. Objectives: The objectives of the study were to determine whether frenotomy is safe and effective in improving ability to feed orally among infants. Intervention/methods: Frenotomy may correct the restriction of tongue movement and allow improved breast feeding and reduced maternal nipple pain. Randomised, quasi-randomised cluster-randomised controlled trials that compared frenotomy verses no frenotomy or frenotomy verses sham procedure were included in the review. Participants were infants with tongue-tie experiencing feeding problems, or whose breast feeding mothers were experiencing nipple pain. Results: Five studies (N = 302) met the inclusion criteria. Pooled analysis of two studies showed no change following frenotomy (mean difference (MD) −0.1, 95% confidence interval (CI) −0.6 to 0.5 units on a 10-point feeding scale). A third study showed objective improvement on a 12-point feeding scale (MD 3.5, 95% CI 3.1 to 4.0 units of a 12-point feeding scale). Pooled analysis of three studies (n = 212) showed a reduction in maternal pain scores following frenotomy (MD −0.7, 95% CI −1.4 to −0.1 units on a 10-point pain scale). These studies had serious methodological shortcomings. Conclusion: Investigators did not find a consistent positive effect on infant breastfeeding following frenotomy. A short-term reduction in breast pain was found among breastfeeding mothers. Small trial numbers and methodological issues meant no definitive benefit for frenotomy in infants with tongue-tie could be proved.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherElsevier BV
dc.relation.ispartofpagefrom146
dc.relation.ispartofpageto147
dc.relation.ispartofjournalInternational Journal of Nursing Studies
dc.relation.ispartofvolume91
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode1110
dc.subject.keywordsAnkylglossia
dc.subject.keywordsBreastfeeding
dc.subject.keywordsFrenotomy
dc.subject.keywordsFrenulum
dc.subject.keywordsTongue-tie
dc.titleFrenotomy for tongue-tie in newborn infants
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationCampbell, J, Frenotomy for tongue-tie in newborn infants, International Journal of Nursing Studies, 2019, 91, pp. 146-147
dc.date.updated2021-03-09T04:42:09Z
gro.hasfulltextNo Full Text
gro.griffith.authorCampbell, Jill L.


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