Universidade Federal de Pernambuco (UFPE), Odontologia com Área de Concentração em Clínica Integrada, Recife, PE, Brazil; Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Odontologia Pediátrica, Recife, PE, Brazil.
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Odontologia Pediátrica, Recife, PE, Brazil; Faculdade Pernambucana de Saúde (FPS), Educação para o Ensino na Saúde, Recife, PE, Brazil.
J Pediatr (Rio J). 2020 May-Jun;96(3):379-385. doi: 10.1016/j.jped.2018.12.013. Epub 2019 Apr 25.
To characterize the lingual frenulum of full-term newborns using two different protocols and to assess the association of the lingual frenulum with breastfeeding.
This non-probabilistic sample consisted of 449 mother/baby binomials. For the anatomo-functional evaluation of the frenulum, the Neonatal Tongue Screening Test and the Bristol Tongue Assessment Tool were used for the evaluation of the lingual frenulum. Breastfeeding was evaluated using the protocol proposed by UNICEF. Scores were created (good, fair, poor) to evaluate every aspect of the breastfeeding to be observed. The results were analyzed through descriptive and inferential statistics and association tests (Pearson's chi-squared and Fisher's exact test).
The study showed that 14 babies had a lingual frenulum alteration, of whom three had difficulties during suction, requiring frenotomy in the first week of life, whereas 11 had no difficulties during breastfeeding. Regarding the breastfeeding evaluation, 410mother/baby binomials had good, 36 regular, and three had bad scores. There was a statistically significant association between the tongue-tie test protocol and breastfeeding (p=0.028) and between the Bristol Tongue Assessment Tool protocol and breastfeeding (p=0.028).
Alterations in the lingual frenulum are associated with interferences in the quality of breastfeeding and thus, evaluation of the lingual frenulum in newborns is important.
使用两种不同的方案来描述足月新生儿舌系带的特征，并评估舌系带与母乳喂养的关系。
本非概率样本包括 449 对母婴组合。为了对舌系带进行解剖-功能评估，采用新生儿舌筛查测试和布里斯托舌评估工具对舌系带进行评估。母乳喂养采用联合国儿童基金会提出的方案进行评估。创建了评分（良好、中等、不良），以评估观察到的母乳喂养的各个方面。通过描述性和推断性统计以及关联检验（皮尔逊卡方检验和 Fisher 精确检验）对结果进行分析。
研究表明，14 名婴儿存在舌系带改变，其中 3 名婴儿在吮吸时存在困难，需要在生命的第一周进行舌系带切开术，而 11 名婴儿在母乳喂养时没有困难。关于母乳喂养评估，410 对母婴组合的评分良好，36 对中等，3 对不良。舌系带测试方案与母乳喂养之间存在统计学显著关联（p=0.028），布里斯托舌评估工具方案与母乳喂养之间也存在统计学显著关联（p=0.028）。
舌系带改变与母乳喂养质量的干扰有关，因此，对新生儿舌系带进行评估很重要。
