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

作　　者：Tiffany A.Lee Jessica Bishop Anne Drover William K.Midodzi Laurie K.Twells 

机构地区：[1]School of Pharmacy,Memorial University of Newfoundland(MUN),St.John’s,Canada [2]Faculty of Medicine,Memorial University of Newfoundland(MUN),St.John’s,Canada

出　　处：《Pediatric Investigation》2024年第1期53-60,共8页儿科学研究（英文）

基　　金：Janeway Children’s Hospital Foundation;Memorial University of Newfoundland。

摘　　要：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.

关 键 词：BREASTFEEDING Nutrition Community health services PEDIATRICS 

分 类 号：R726.5[医药卫生—儿科]