Puapornpong Pawin, Raungrongmorakot Kasem, Mahasitthiwat Visan, Ketsuwan Sukwadee
J Med Assoc Thai. 2014 Mar;97(3):255-9.
Breastfeeding is recommended as the exclusive feeding for the first six months of the newborns life. Difficulty in latching and breastfeeding resulting from tongue-tie are believed to be a problem.
To compare the latching on between newborns with tongue-tie (ankyloglossia) and normal newborns.
The subjects were 833 normal, postpartum women who delivered without complications at HRH Princess Maha Chakri Sririndhorn Medical Center in Nakhon Nayok Province between January and June 2013. Their newborns oral cavities' were checked for tongue-tie screening and diagnoses using Kotlow's criteria. Latch scores were used for latch-on assessment at the second day postpartum. Demographic data and latch scores were collected and analyzed by the t-test, Chi-square test, Odds ratio with 95% confidence interval and One-way of ANOVA test.
The data shows that the incidence of tongue-tie was 13.4% (6.2% with mild tongue-tie, 5.5% with moderate tongue-tie, and 1.7% with severe tongue-tie). The mean of latch scores in the tongue-tied groups were significantly lower than that in the normal group, especially in the moderate and severe tongue-tie subgroups. The odds ratios for latch scores were < or = 8 compared between the moderate and severe tongue-tied subgroups and the score in the normal and mild tongue-tied subgroups was 1.4.
The latch scores in tongue-tied newborns were significantly lower than those in normal newborns.
母乳喂养被推荐为新生儿出生后前六个月的唯一喂养方式。舌系带过短导致的 latch 困难和母乳喂养问题被认为是一个难题。
比较舌系带过短（ankyloglossia）的新生儿和正常新生儿之间的 latch 情况。
研究对象为 2013 年 1 月至 6 月在那空那育府诗琳通公主殿下医疗中心无并发症分娩的 833 名正常产后妇女。使用 Kotlow 标准对其新生儿口腔进行舌系带筛查和诊断。产后第二天使用 latch 评分进行 latch 评估。收集人口统计学数据和 latch 评分，并通过 t 检验、卡方检验、95%置信区间的优势比和单因素方差分析进行分析。
数据显示舌系带过短的发生率为 13.4%（轻度舌系带过短为 6.2%，中度舌系带过短为 5.5%，重度舌系带过短为 1.7%）。舌系带过短组的 latch 评分均值显著低于正常组，尤其是在中度和重度舌系带过短亚组中。中度和重度舌系带过短亚组与正常和轻度舌系带过短亚组之间 latch 评分的优势比小于或等于 8，为 1.4。
舌系带过短的新生儿的 latch 评分显著低于正常新生儿。
