Presence of ankyloglossia and breastfeeding in babies born in Lima, Peru: a longitudinal study
Rafaela Soares Rech; Bertha Angélica Chávez; Pili Berrios Fernandez; Daniel Demétrio Faustino da Silva; Juliana Balbinot Hilgert; Fernando Neves Hugo
Abstract
Purpose: to evaluate the lingual frenulum and breastfeeding in infants from a maternal-perinatal referral center, as well as to monitor infants with ankyloglossia up to six months of age. Methods: a cohort study conducted at the Instituto Nacional Materno Perinatal - Maternidad de Lima in Lima, Peru. The consecutive intentional sample consisted of 304 newborns and their respective mothers, evaluated during December 2017 and January 2018, which were the baseline of the study. A clinical evaluation of the lingual frenulum adapted and the Clinical Evaluation of Breastfeeding Efficacy (CEBE) scale, was performed. Results: of the 304 newborns, 15 (4.9%) were considered with altered frenulum, and only 4 (26.7%) presented a low score in CEBE. The mean of the CEBE score was 9.3. (DP=1.35, Min=3, Max=10). Of the follow-up infants, only 2 (13.3%) persisted with breastfeeding difficulties for which frenotomy was indicated. Conclusion: This study demonstrates the low prevalence of ankyloglossia in infants, as it does not indicate a trend of difficulty or negative interference in breastfeeding
Keywords
Referências
1 World Health Organization (WHO). Global strategy for infant and young child feeding. 54th World Health Assembly; 2001; Geneva: WHO. Available: https://apps.who.int/iris/bitstream/handle/10665/42590/9241562218.pdf;jsessionid=CA701281240957ADCA2E1FB6677692A0?sequence=1. Accessed on: October 05, 2020. [ Links ]
2 França MCT, Giugliani ERJ, Oliveira LD, Weigert EL, Espirito Santo LC, Köhler CVF, Bonilha A. Uso de mamadeira no primeiro mês de vida: determinantes e influência da técnica de amamentação. Rev Saúde Pública 2008;4(42):607-14. DOI: 10.1590/S0034-89102008005000028. [ Links ]
3 Schaurich GF, Delgado SE. Caracterização do desenvolvimento da alimentação em crianças de 6 a 24 meses. Rev. CEFAC; 2014;16(5):1579-1588. DOI: 10.1590/1982-0216201412313. [ Links ]
4 Lamounier JA, Vieira GO, Gouvêa LC. Composição do leite humano - fatores nutricionais. In: REGO, J.D. Aleitamento materno. São Paulo: Editora Atheneu, 2001. [ Links ]
5 Moimaz SAS, Rocha NB, Garbin AJI, Saliba O. The relation between maternal breastfeeding and non-nutritive sucking habits. Cienc Saude Coletiva. 2011;16:2477-84. DOI: 10.1590/1981-863720150002000012295. [ Links ]
6 Venancio SI, Saldiva SRDM, Monteiro CA. Tendência secular da amamentação no Brasil. Rev Saúde Pública. 2013; 47(6):1205-8. DOI: 10.1590/S0034-8910.2013047004676. [ Links ]
7 Jones G, Steketee RW, Black RE, et al. Bellagio Child Survival Study Group. How many child deaths can we prevent this year? The Lancet. 2003; 362(9377):65-71. PMID: 12853204. DOI: 10.1016/S0140-6736(03)13811-1. [ Links ]
8 Victora CG, Aquino EML, Leal MC et al. Saúde de mães e crianças no Brasil: progressos e desafios. The Lancet. 2011; 2: 32-46. DOI: 10.1016/S0140-6736(11)60138-4 [ Links ]
9 Horta BL, Victora CG. Short-term effects of breastfeeding: a systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. World Health Organization, 2013. 49 p. [ Links ]
10 Victora CG, Horta BL, de Mola CL et al. Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil. The Lancet. 2015; 3(4):e199-e205. DOI: 10.1016/S2214-109X(15)70002-1. [ Links ]
11 Francis DO, Krishnaswami S, McPheeters M. Treatment of ankyloglossia and breastfeeding outcomes: a systematic review. Pediatrics. 2015; 135(6):e1458-66. PMID: 25941303. DOI: 10.1542/peds.2015-0658. [ Links ]
12 Ingram J, Johnson D, Copeland M et al. The development of a tongue assessment tool to assist with tongue-tie identification. Arch Dis Child Fetal Neonatal. 2015; 100(4):F344-8. PMCID: PMC4484383. DOI: 10.1136/archdischild-2014-307503. [ Links ]
13 Rowan-Legg A, Canadian Pediatric Society. Ankyloglossia and breastfeeding, Position Statement, 2015. Available in: http://www.cps.ca/documents/position/ankyloglossia-breastfeeding. Accessed on: June 23, 2019 [ Links ]
14 Buryk M, Bloom D, Shope T. Efficacy of Neonatal Release of Ankyloglossia: A Randomized Trial. Pediatrics. 2011;128(2):280-288. PMID: 21768318. DOI: 10.1542/peds.2011-0077. [ Links ]
15 Chinnadurai S, et al. Treatment of Ankyloglossia for Reasons Other Than Breastfeeding: A Systematic Review. Pediatrics. 2015;135(6):1-8. PMID: 25941312. DOI: 10.1542/peds.2015-0660. [ Links ]
16 Antunes LS, Antunes LAA, Corvino MPF, Maia LC. Breast-feeding as a source of prevention in healthcare. Cienc Saude Coletiva. 2008;13(1):103-109. DOI: 10.1590/S1413-81232008000100015. [ Links ]
17 Marmet C, Shell E, Marmet R. Neonatal frenotomy may be necessary to correct breastfeeding problems. Journal of Human Lactation, 1990; 6(3):117-121. PMID: 2205230. DOI: 10.1177/089033449000600318. [ Links ]
18 Messner A, lalakea M. Ankyloglossia: controversies in management. International Journal of Pediatric Otorhinolaryngology, 2000;54(2):123-131. DOI: 10.1016/S0165-5876(00)00359-1. [ Links ]
19 Ballard J, Auer C, Khoury J. Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics. 2002;110(5):1-6. PMID: 12415069. DOI: 10.1542/peds.110.5.e63. [ Links ]
20 Tait P. Nipple pain in breastfeeding women: causes, treatment, and prevention strategies. Journal of Midwifery & Women’s Health. 2000; 45(3):212-215. PMID: 10907330. DOI: 10.1016/s1526-9523(00)00011-8. [ Links ]
21 Webb AN, Hao W, Hong P. The effect of tongue-tie division on breastfeeding and speech articulation: a systematic review. International Journal of Pediatric Otorhinolaryngology, 2013;77(5):635-646. PMID: 23537928. DOI: 10.1016/j.ijporl.2013.03.008 [ Links ]
22 Baez Leon C et al. Validación al castellano de una escala de evaluación de la lactancia materna: el LATCH. Análisis de fiabilidad. Index Enferm, Granada. 2008;17(3):205-209. [ Links ]
23 Martinelli RLC, Marchesan IQ, Rodrigues AC, Berretin-Felix G. Protocolo de avaliação do frênulo da língua em bebês. Revista CEFAC. 2012;14(1):138-145. DOI: 10.1590/S1516-18462013005000032 [ Links ]
24 Araujo MC, Freitas RL, Lima MG, Kozmhinsky VM, Guerra CA, Lima GM, et al. Evaluation of the lingual frenulum in newborns using two protocols and its association with breastfeeding. J Pediatr (Rio J). 2018. (in press) DOI: 10.1016/j.jped.2018.12.013. [ Links ]
25 Campanha SMA, Martinelli RLC, Palhares DB. Association between ankyloglossia and breastfeeding. CoDAS. 2019; 31(1):e20170264 DOI: 10.1590/2317-1782/20182018264 [ Links ]
26 Segal LM, Stephenson R, Dawes M, Feldman P. Prevalence, diagnosis, and treatment of ankyloglossia: methodologic review. Can Fam Physician. 2007; 53(6):1027-33. PMID: 17872781. PMCID: PMC1949218. [ Links ]
27 Suter VG, Bornstein MM. Ankyloglossia: facts and myths in diagnosis and treatment. J Periodontol. 2009; 80(8):1204-19. PMID: 19656020. DOI: 10.1902/jop.2009.090086 [ Links ]
28 Francis DO, Krishnaswami S, Mc Pheeters M. Treatment of ankyloglossia and breastfeeding outcomes: a systematic review. Pediatrics. 2015; 135(6):e1458-66. PMID: 25941303. DOI: 10.1542/peds.2015-0658 [ Links ]
29 Chinnadurai S, et al. Treatment of Ankyloglossia for Reasons Other Than Breastfeeding: A Systematic Review. Pediatrics. 2015;135(6):1-8. PMID: 25941312. DOI: 10.1542/peds.2015-0660. [ Links ]
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email