| Newborn tongue-tie: prevalence and effect on breast-feeding. | |
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MedLine Citation:
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PMID: 15709057 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purposes of this study were: (1) to determine whether breast-fed infants with tongue-tie have decreased rates of breast-feeding at 1 week and 1 month of age, (2) to determine the prevalence of tongue-tie, and (3) to test the usefulness of the Assessment Tool for Lingual Frenulum Function (ATLFF) in assessing the severity of tongue-tie in breast-feeding newborns. METHODS: A case-control design was used. All infants in the Regions Hospital newborn nursery were examined for tongue-tie. Tongue-tied babies were examined using the ATLFF. Two breast-feeding babies with normal tongues were identified and matched for each case. Mothers were interviewed when the babies were 1 week and 1 month old. RESULTS: The prevalence of tongue-tie was 4.2%. Forty-nine tongue-tied and 98 control infants were enrolled. Tongue-tied babies were 3 times as likely as control babies to be bottle fed only at 1 week [risk ratio (RR), 3.11; 95% confidence interval (CI), 1.21, 8.03) By 1 month, tongue-tied babies were as likely as controls to be bottle fed only. (RR, 1.00; 95% CI, 0.55, 1.82) Twelve of the tongue-tied infants had ATLFF scores of "Perfect," none had scores of "Acceptable," and 6 had scores of "Function Impaired." The remaining 31 infants had scores that fell into none of these categories. CONCLUSIONS: Tongue-tie is a relatively common condition in newborns. Affected infants are significantly more likely to be exclusively bottle-fed by 1 week of age. The ATLFF was not a useful tool to identify which tongue-tied infants are at risk for breast-feeding problems. |
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Authors:
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Lori A Ricke; Nancy J Baker; Diane J Madlon-Kay; Terese A DeFor |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of the American Board of Family Practice / American Board of Family Practice Volume: 18 ISSN: 0893-8652 ISO Abbreviation: J Am Board Fam Pract Publication Date: 2005 Jan-Feb |
Date Detail:
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Created Date: 2005-02-14 Completed Date: 2005-06-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8807505 Medline TA: J Am Board Fam Pract Country: United States |
Other Details:
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Languages: eng Pagination: 1-7 Citation Subset: IM |
Affiliation:
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Regions Family and Community Medicine Residency Program, University of Minnesota Medical School, St. Paul, MN, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Breast Feeding* Case-Control Studies Chi-Square Distribution Female Humans Infant, Newborn Lingual Frenum / abnormalities Male Prevalence Tongue / abnormalities* |
| Comments/Corrections | |
Comment In:
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J Am Board Fam Pract. 2005 Jul-Aug;18(4):326; author reply 326-7
[PMID:
15994482
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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