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Effect of Frenotomy on Breastfeeding in Infants with Ankyloglossia: A Rapid Review


Introduction: Ankyloglossia or tongue-tie is a congenital disorder characterized
by a short lingual frenulum resulting in limited tongue ...

  • CodeCallNoLokasiKetersediaan
    Ped1- 174174 617.64 Kur EJatinangor (Pedodonsia)Tersedia namun tidak untuk dipinjamkan - No Loan
  • Perpustakaan
    Fakultas Kedokteran Gigi
    Judul Seri
    -
    No. Panggil
    617.64 Kur E
    Penerbit FKG Unpad : FKG UNPAD JATINANGOR.,
    Deskripsi Fisik
    -
    Bahasa
    English
    ISBN/ISSN
    160110180043
    Klasifikasi
    617.64
    Tipe Isi
    -
    Tipe Media
    -
    Tipe Pembawa
    -
    Edisi
    -
    Subyek
    Info Detil Spesifik
    -
    Pernyataan Tanggungjawab
  • Introduction: Ankyloglossia or tongue-tie is a congenital disorder characterized
    by a short lingual frenulum resulting in limited tongue movement, therefore
    causing difficulty in breastfeeding. Frenotomy is indicated if there is interference
    in breastfeeding. The objective of this study is to determine the effect of frenotomy
    on breastfeeding in infants with ankyloglossia. Methods: Rapid review was
    conducted using PRISMA guidelines through Pubmed, Scopus, and Embase using
    keywords according to research questions based on PICO and used boolean
    operators to combine keywords. Risk of bias was assessed using JBI Critical
    Appraisal Tools. Result: Five articles consisting of four randomized controlled
    trials and one quasi-experimental were included for review. Two studies reported
    nipple pain reduction after frenotomy, while the other two studies did not.
    Effectiveness of breastfeeding was found to increase in two studies, whereas one
    study found no increase. Two studies using different instrument to assess the
    effectiveness of breastfeeding did not show an increase after frenotomy. Maternal
    self-efficacy was found to be elevated in one study. Maternal subjective
    assessment reported improvement in breastfeeding in three studies. All studies
    reported no serious complications after frenotomy. Conclusion: Frenotomy was
    found to be inconsistent in improving breastfeeding ability in infants with
    ankyloglossia. Practitioners should do case selection carefully by taking into
    account the assessment of tongue-tie and breastfeeding, as well as conservative
    approach (lactation support) before performing frenotomy.
    Keywords: ankyloglossia, frenotomy, breastfeeding
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