Does frenotomy improve breastfeeding problems in neonates with ankyloglossia?
Background There are global and national initiatives to improve breastfeeding rates and ankyloglossia appears to be contributing to breastfeeding cessation, despite significant controversy regarding the need for frenotomy and the success of the intervention on breastfeeding outcomes. Aims To critica...
| Publicado en: | British Journal of Midwifery Vol. 26; no. 3; pp. 171 - 180 |
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| Autor principal: | |
| Formato: | research systematic review tables/charts Journal Article |
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Mark Allen Holdings Limited
Mar2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128259669&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128259669 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09694900 GHC jtl: British Journal of Midwifery issn: 09694900 maglogo: N pubinfo: dt: Mar2018 vid: 26 iid: 3 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 128259669 128259669 128259669 10.12968/bjom.2018.26.3.171 128259669 ppf: 171 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Does frenotomy improve breastfeeding problems in neonates with ankyloglossia? aug: au: Emmerson, Claire Victoria affil: Registered midwife, University of Hertfordshire; Bedford Hospital NHS Trust sug: subj: Ankyloglossia Surgery Breast Feeding Surgery, Oral Human Systematic Review CINAHL Database PubMed Cochrane Library Thematic Analysis Outcomes (Health Care) Infant, Newborn Infant, Newborn: birth-1 month ab: Background There are global and national initiatives to improve breastfeeding rates and ankyloglossia appears to be contributing to breastfeeding cessation, despite significant controversy regarding the need for frenotomy and the success of the intervention on breastfeeding outcomes. Aims To critically appraise contemporary literature regarding the effectiveness of frenotomy on reducing breastfeeding problems. Methods An electronic literature search was systematically performed using CINAHL, PubMed and Cochrane databases. Backchaining and a hand search of bibliographies were also used. Findings Four key themes were identified from the literature; challenges diagnosing ankyloglossia including lack of a universally recognised assessment tool, apparent maternal breastfeeding improvements, breastfeeding improvements for the neonate, and issues with determining the longevity of breastfeeding. Conclusion Overall the literature was of differing validity and applicability, therefore further longer-term RCTs are required with larger sample sizes to be able to account for cross-over of participants from comparison to frenotomy group. The evidence has shown that frenotomy may improve breastfeeding outcomes but since breastfeeding is a complex interaction between mother and baby, releasing ankyloglossia does not universally remove all breastfeeding problems. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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