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- Title
The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital.
- Authors
Wakhanrittee, Junsujee; Khorana, Jiraporn; Kiatipunsodsai, Siriphut
- Abstract
<bold>Purpose: </bold>To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up.<bold>Methods: </bold>A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numeric rating scale and LATCH score, respectively, and compared between pre and post-operatively at 24 h and 1 week. The success rate of EBF was assessed at 3 months after frenulotomy.<bold>Results: </bold>Nipple pain score were significantly decreased (median difference = 3 and 4, P < 0.001) and LATCH score were significantly increased (mean difference = 1.92 and 2.13, P < 0.001) at 24 h and 1 week post-operatively. At 3 months, a success rate of EBF was 66.67 %. Multivariable analysis clustering by maternal age of 18 years was performed. Factors that were significantly (P < 0.05) associated with the success were: girls, age at surgery ≤24 h, higher number of children in family, low birth weight, tongue-tie severity, nipple grading, LATCH score ≥8 and nipple sensation at 1 week after surgery.<bold>Conclusion: </bold>Frenulotomy could significantly reduce nipple pain and increase LATCH score in tongue-tied infants with breastfeeding difficulty. Several factors are positively associated with the success of EBF. Tongue-tie severity, LATCH score and nipple sensation were the factors that can be modified by frenulotomy.
- Subjects
THAILAND; BREASTFEEDING complications; ANKYLOGLOSSIA; NIPPLE (Anatomy); MOTHER-infant relationship; LOW birth weight; LINGUAL frenum; ACADEMIC medical centers; BREASTFEEDING; LONGITUDINAL method; MOTHERS; PAIN; TREATMENT effectiveness; CROSS-sectional method; BREASTFEEDING techniques; SURGERY
- Publication
Pediatric Surgery International, 2016, Vol 32, Issue 10, p945
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-016-3952-8