Illing Sam, Minnee Martin, Wheeler Jackie, Illing Lydia
General Practice, Hokowhitu Medical Centre, Palmerston North.
Lactation Consultant, Breastfeeding Manawatu, Palmerston North.
N Z Med J. 2019 Aug 16;132(1500):70-81.
We sought the parental experience of the effects of frenotomy in the presence of ankyloglossia by exploring the reasons for seeking frenotomy, impressions of its value and its impact on breastfeeding.
A prospective survey of infants receiving frenotomy in a general practice in Palmerston North was undertaken. Infants aged under six months with confirmed ankyloglossia via a GP and lactation consultant were included. One hundred and seventy-six children met the study criteria. Parents completed a pre-procedure questionnaire and received a follow-up phone call.
Results demonstrated that 97% of parents would seek out frenotomy again in similar circumstances. Initially, 93 mother-infant pairs (53%) were not fully breastfeeding; post frenotomy, 33 of these pairs were able to start fully breastfeeding. One hundred and thirty-two pairs showed no change in feeding method. Nine pairs deteriorated from partial breastfeeding to artificial feeding, and two pairs deteriorated from fully breastfeeding to artificial feeding. Both feeding time and nipple pain improved post-frenotomy. Eighty percent of parents reported a moderate or significant improvement in their presenting issue, and 77% reported moderate to significant improvement in feeding quality. There were no major complications.
Frenotomy was reported to be beneficial, with a high level of parental satisfaction and improvement in rates of full breastfeeding and feeding duration, as well as a reduction in nipple pain. Parents were willing to go to significant lengths to access the procedure.
通过探究进行舌系带切开术的原因、对其价值的看法及其对母乳喂养的影响，我们旨在了解患有舌系带过短的情况下进行舌系带切开术对父母的影响。
对在北帕默斯顿一家普通诊所接受舌系带切开术的婴儿进行了一项前瞻性调查。纳入了经全科医生和哺乳顾问确诊为舌系带过短的6个月以下婴儿。176名儿童符合研究标准。父母完成了术前问卷并接受了随访电话。
结果表明，97%的父母在类似情况下会再次寻求舌系带切开术。最初，93对母婴（53%）没有进行全母乳喂养；舌系带切开术后，其中33对能够开始全母乳喂养。132对的喂养方式没有变化。9对从部分母乳喂养恶化到人工喂养，2对从全母乳喂养恶化到人工喂养。舌系带切开术后喂养时间和乳头疼痛均有所改善。80%的父母报告其当前问题有中度或显著改善，77%报告喂养质量有中度到显著改善。没有重大并发症。
据报告，舌系带切开术是有益的，父母满意度高，全母乳喂养率和喂养持续时间有所提高，乳头疼痛也有所减轻。父母愿意不遗余力地接受该手术。
