Document Detail

Newborn tongue-tie: prevalence and effect on breast-feeding.
MedLine Citation:
PMID:  15709057     Owner:  NLM     Status:  MEDLINE    
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.
Lori A Ricke; Nancy J Baker; Diane J Madlon-Kay; Terese A DeFor
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
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:
Created Date:  2005-02-14     Completed Date:  2005-06-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8807505     Medline TA:  J Am Board Fam Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-7     Citation Subset:  IM    
Regions Family and Community Medicine Residency Program, University of Minnesota Medical School, St. Paul, MN, USA.
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MeSH Terms
Breast Feeding*
Case-Control Studies
Chi-Square Distribution
Infant, Newborn
Lingual Frenum / abnormalities
Tongue / abnormalities*
Comment In:
J Am Board Fam Pract. 2005 Jul-Aug;18(4):326; author reply 326-7   [PMID:  15994482 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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