Nipple Pain at Presentation Predicts Success of Tongue-Tie Division for Breastfeeding Problems
| Autor: | N. Dabbas, Niyi Ade-Ajayi, Shailesh Patel, A. K. K. Khoo, N. Sudhakaran |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Breastfeeding Mothers Pain Logistic regression Cohort Studies Tongue Surveys and Questionnaires medicine Humans Prospective Studies Prospective cohort study Lingual Frenum Obstetrics business.industry Infant Newborn Infant Surgery Breast Feeding Logistic Models medicine.anatomical_structure Nipples Sucking Behavior Multivariate Analysis Pediatrics Perinatology and Child Health Female Breastfeeding difficulties business Breast feeding Cohort study |
| Zdroj: | European Journal of Pediatric Surgery. 19:370-373 |
| ISSN: | 1439-359X 0939-7248 |
| DOI: | 10.1055/s-0029-1234041 |
| Popis: | Introduction: In mother-infant pairs experiencing breastfeeding difficulties, frenulotomy for tongue-tie may improve breastfeeding. We tested the hypothesis that those experiencing nipple pain are most likely to benefit from the procedure in a prospective cohort study. Materials and Methods: Mother-infant pairs attending a dedicated clinic for the assessment and treatment of tongue-tie completed a standardised, structured symptom questionnaire. Three months later outcome was assessed by questionnaire. Multivariate logistic regression analysis was used to determine preoperative predictors of successful outcome. Results: Sixty-two infants < 90 days old underwent frenulotomy and completed follow-up. At presentation, 52 mothers (84%) reported nipple pain, and 32 mothers (52 %) nipple trauma. Three months after frenulotomy, 78 % of respondents were still breastfeeding. Feed lengths (mean reduction: 17 mins ; p |
| Databáze: | OpenAIRE |
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