Publication: Lingual frenulum and effect on breastfeeding in Thai newborn infants
Issued Date
2013-05-01
Resource Type
ISSN
20469055
20469047
20469047
Other identifier(s)
2-s2.0-84877941844
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Mahidol University
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SCOPUS
Bibliographic Citation
Paediatrics and International Child Health. Vol.33, No.2 (2013), 86-90
Suggested Citation
Sopapan Ngerncham, Mongkol Laohapensang, Thidaratana Wongvisutdhi, Yupin Ritjaroen, Nipa Painpichan, Pussara Hakularb, Panidaporn Gunnaleka, Penpaween Chaturapitphothong Lingual frenulum and effect on breastfeeding in Thai newborn infants. Paediatrics and International Child Health. Vol.33, No.2 (2013), 86-90. doi:10.1179/2046905512Y.0000000023 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32360
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Title
Lingual frenulum and effect on breastfeeding in Thai newborn infants
Other Contributor(s)
Abstract
Background: Breastfeeding has abundant biological and psychological benefits. Effective breastfeeding requires good latching on, which is possible when the infant is able to cup around the maternal areola with his tongue. One of the most common conditions resulting in poor latching on is tongue-tie. Objective: To determine the prevalence of tongue-tie with subsequent breastfeeding difficulties and other factors affecting the success of breastfeeding in newborn infants. Methods: This was a prospective, cross-sectional study of healthy Thai infants without contraindications for breastfeeding. Physical examination of the infants and mothers and their breastfeeding practices were assessed between 24 and 48 hours of life. Results: 2679 mother-infant dyads were recruited. The study detected a prevalence of 16% for severe tongue-tie, 37.9% of which was associated with breastfeeding difficulties. Using multiple logistic regression analysis, moderate (adjusted OR 13.3, 95% CI 7.2-24.5) and severe (adjusted OR 62, 95% CI 34.1-112.8) tongue-tie, short nipples (adjusted OR 1.5, 95% CI 1.1-2.2), mothers feeling the infant's tongue on the nipple area (adjusted OR 3.4, 95% CI 2.2-5.2) and mothers' inability to feel the infant's tongue (adjusted OR 11.8, 95% CI 4.3-32.4) independently increased the risk of breastfeeding difficulties. Conclusions: Tongue-tie is not uncommon and is associated with breastfeeding difficulty in newborn infants. Mothers of infants with severe tongue-tie should be closely and individually coached during breastfeeding and followed up, especially during the first critical weeks of the infant's life. © W. S. Maney & Son Ltd 2013.