Wong Kevin, Patel Punam, Cohen Michael B, Levi Jessica R
1 Boston University School of Medicine , Boston, Massachusetts.
2 Boston Medical Center , Boston, Massachusetts.
Breastfeed Med. 2017 Mar;12:86-90. doi: 10.1089/bfm.2016.0177. Epub 2017 Jan 6.
Breastfeeding difficulty from ankyloglossia can affect both the mother and baby in a breastfeeding dyad. With renewed emphasis in today's culture on breast milk, mothers may feel increasing pressure to breastfeed, and the inability for some to do so may cause significant distress. Recently, online parenting forums have seen exponential growth; these forums allow mothers to connect with peers undergoing similar life transitions. The purpose of this study was to review online discussions regarding ankyloglossia to understand mothers' experiences with breastfeeding.
We performed an ethnographic content analysis of 76 online threads and 501 posts regarding ankyloglossia based on six domains: (1) initial expectations, (2) breastfeeding complications, (3) questions, (4) diagnosis, (5) treatment, and (6) outcomes.
About one-fourth of women who participated in online forum discussions had initial expectations to breastfeed, however, many found it impossible due to poor latch or pain. Concerns were frequently exacerbated by healthcare providers who reportedly missed or overlooked ankyloglossia. Although these complications made breastfeeding a challenging experience, mothers often described both subjective and physical improvements after frenotomy.
Breastfeeding difficulty was a commonly voiced concern in online ankyloglossia forums. Forum analysis is an effective way to gain insight into patients' experiences, which allows providers to anticipate concerns and provides more effective counseling.
舌系带过短导致的母乳喂养困难会影响母婴二元组中的母亲和婴儿。在当今文化中，随着对母乳的再度重视，母亲们可能会感到越来越大的母乳喂养压力，而一些母亲无法进行母乳喂养可能会导致严重的困扰。最近，在线育儿论坛呈指数级增长；这些论坛让母亲们能够与经历类似生活转变的同龄人建立联系。本研究的目的是回顾关于舌系带过短的在线讨论，以了解母亲们的母乳喂养经历。
我们基于六个领域对76个关于舌系带过短的在线主题帖和501篇帖子进行了人种志内容分析：（1）初始期望，（2）母乳喂养并发症，（3）问题，（4）诊断，（5）治疗，以及（6）结果。
参与在线论坛讨论的女性中约四分之一最初期望进行母乳喂养，然而，许多人因含接不良或疼痛而发现无法实现。据报道，医疗保健提供者错过或忽视舌系带过短的情况经常会加剧这些担忧。尽管这些并发症使母乳喂养成为一项具有挑战性的经历，但母亲们经常描述在舌系带切开术后主观和身体状况都有所改善。
母乳喂养困难是在线舌系带过短论坛中普遍表达的担忧。论坛分析是深入了解患者经历的有效方式，这使医疗服务提供者能够预见担忧并提供更有效的咨询。
