Evidence of improved milk intake after frenotomy: a case report.

Abstract:

:Ankyloglossia (tongue tie) is a well-recognized cause of breastfeeding difficulties and, if untreated, can cause maternal nipple pain and trauma, ineffective feeding, and poor infant weight gain. In some cases, this condition will result in a downregulation of the maternal milk supply. Milk-production measurements (24-hour) for a breastfeeding infant with ankyloglossia revealed the ineffective feeding of the infant (78 mL/24 hours), and a low milk supply (350 mL/24 hours) was diagnosed. Appropriate management increased milk supply (1254 mL/24 hours) but not infant milk intake (190 mL/24 hours). Test weighing convincingly revealed the efficacy of frenotomy, increasing breastfeeding milk transfer from 190 to 810 mL/24 hours. Postfrenotomy, breastfeeding almost completely replaced bottle-feeding of expressed breast milk. This case study confirms that ankyloglossia may reduce maternal milk supply and that frenotomy can improve milk removal by the infant. Milk-production measurements (24-hour) provided the evidence to confirm these findings.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Garbin CP,Sakalidis VS,Chadwick LM,Whan E,Hartmann PE,Geddes DT

doi

10.1542/peds.2012-2651

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

e1413-7

issue

5

eissn

0031-4005

issn

1098-4275

pii

peds.2012-2651

journal_volume

132

pub_type

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