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 Tiffany A. Lee;Jessica Bishop;Anne Drover;William K. Midodzi;Laurie K. Twells

作者机构：School of PharmacyMemorial University of Newfoundland(MUN)St.John’sCanada Faculty of MedicineMemorial University of Newfoundland(MUN)St.John’sCanada 

出 版 物：《Pediatric Investigation》 (儿科学研究（英文）)

年 卷 期：2024年第8卷第1期

页      面：53-60页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

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

主　　题：Breastfeeding Nutrition Community health services Pediatrics 

摘      要：Importance:Tongue tie(TT)is a condition that can cause infant feeding difficulties due to restricted tongue *** TT presents as a significant barrier to breastfeeding,a frenotomy may be *** accepted diagnostic criteria for TT are lacking and wide prevalence estimates are *** 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 ***:To determine the proportion of babies with TT as well as the frequency of ***:This cross-sectional study included infants who initiated breastfeeding at birth and were referred for TT evaluation over a 14-month *** were collected retrospectively by chart review and analyzed using *** associated with frenotomy were examined using logistic ***:Two hundred and forty-one babies were ***-two percent(n=222)were diagnosed with TT and 66.0%(n=159)underwent *** the multivariate model,nipple pain/trauma,inability to latch,inability to elevate tongue,and dimpling of tongue on extension were associated with frenotomy(P0.05).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 ***:TT is a relatively common finding among breastfed *** 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.