Research Article
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Published Online: 31 October 2014

Tongue-Tie and Breastfeeding in Newborns—Mothers' Perspective

Publication: Breastfeeding Medicine
Volume 9, Issue Number 9

Abstract

Objective: This study explored clinical implications of tongue-tie (TT) on breastfeeding from the mothers' perspective and evaluated the assistance provided.
Materials and Methods: This was a single-center observational study using a structured survey. All newborns with TT born in 2005–2010 were identified; two controls without TT were assigned for each. Mothers were interviewed using a uniform structured questionnaire regarding breastfeeding experience, challenges, lactation consultation, and frenotomy, if performed.
Results: One hundred eighty-three TT mothers and 314 controls were interviewed. Although the overall rates of breastfeeding problems in the first month were similar (59% vs. 52%, respectively), TT mothers reported significantly more problems with latching, prolonged breastfeeding, and infant's exhaustion during feedings, but not pain or sore nipples. Breastfeeding rates at 6 months were similar. TT mothers more frequently used pumped breastmilk to supplement breastfeeding. Significantly more TT mothers sought consultation after discharge, and a significantly greater proportion of them felt that lactation consultation helped. Eighty-seven percent of the mothers were aware of their children's TT, yet only 50% associated it with breastfeeding problems. Of the TT infants at 2 years of age or older, 11.9% were reported to have speech problems. The possibility of frenotomy was mentioned to 69% of mothers, and it was performed in 35% of cases. Procedure satisfaction was generally poor, except for when done to solve breastfeeding problems.
Conclusions: TT infants had significantly more breastfeeding problems in the first month, but similar rates and durations of breastfeeding. Early diagnosis and lactation consultation may assist mother–infant dyads substantially. Mothers whose infants underwent frenotomies for breastfeeding more frequently found the procedure alleviated breastfeeding problems.

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Information & Authors

Information

Published In

cover image Breastfeeding Medicine
Breastfeeding Medicine
Volume 9Issue Number 9November 2014
Pages: 430 - 437
PubMed: 25290824

History

Published in print: November 2014
Published online: 31 October 2014
Published ahead of print: 7 October 2014

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Authors

Affiliations

Arieh Riskin
Department of Neonatology, Bnai Zion Medical Center, Haifa, Israel.
Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Michal Mansovsky
Department of Family Medicine, Sharon and Northern Region, Maccabi Healthcare Services, Haifa, Israel.
Department of Family Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Tzviya Coler-Botzer
Department of Family Medicine, Sharon and Northern Region, Maccabi Healthcare Services, Haifa, Israel.
Department of Family Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Amir Kugelman
Department of Neonatology, Bnai Zion Medical Center, Haifa, Israel.
Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Ron Shaoul
Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Pediatric Gastroenterology Unit, Meyer's Childrens' Hospital, Rambam Health Care Campus, Haifa, Israel.
Miri Hemo
Department of Neonatology, Bnai Zion Medical Center, Haifa, Israel.
Leslie Wolff
Department of Neonatology, Bnai Zion Medical Center, Haifa, Israel.
Breastfeeding Lactation Support Team, Maternity Services, Bnai Zion Medical Center, Haifa, Israel.
Sarit Harpaz
Department of Family Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Zhana Olchov
Department of Family Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
David Bader
Department of Neonatology, Bnai Zion Medical Center, Haifa, Israel.
Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

Notes

Address correspondence to:Arieh Riskin, MD, MHADepartment of NeonatologyBnai Zion Medical Center47 Golomb StreetP.O. Box 4940Haifa 31048,Israel
E-mail: [email protected]

Disclosure Statement

No competing financial interests exist.

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