Tag Archive for: Szoptatási problémák

Reliability of the Hazelbaker Assessment Tool for Lingual Frenulum Function

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Lisa H Amir, Jennifer P James and Susan M Donath

International Breastfeeding Journal 2006, 1:3

Abstract

Background

About 3% of infants are born with a tongue-tie which may lead to breastfeeding problems such as ineffective latch, painful attachment or poor weight gain. The Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF) has been developed to give a quantitative assessment of the tongue-tie and recommendation about frenotomy (release of the frenulum). The aim of this study was to assess the inter-rater reliability of the HATLFF.

Methods

Fifty-eight infants referred to the Breastfeeding Education and Support Services (BESS) at The Royal Women’s Hospital for assessment of tongue-tie and 25 control infants were assessed by two clinicians independently.
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Review of tongue-tie release at a tertiary maternity hospital

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Lisa Helen Amir, Jennifer Patricia James and Joanne Beatty

Journal of Paediatrics and Child Health 41 (5-6), 243–245. – May 2005.

Abstract

Objective: To review the first 12 months of assessment and release of lingual frenulum (frenotomy) at a breast-feeding clinic in a tertiary maternity hospital (August 2002 to end of July 2003) and to report on the breast-feeding outcomes and parental satisfaction.

Methods: A structured telephone interview was conducted with the mother at least 3 months after the assessment. Data were collected about the presenting problem and the effect of release of the tongue-tie (if performed). Parents were also asked about their satisfaction with the procedure and of problems following the release.
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Randomized, controlled trial of division of tongue-tie in infants with feeding problems

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Monica Hogan, Carolyn Westcott and Mervyn Griffiths

Journal of Paediatrics and Child Health 41 (5-6), 246–250. – May 2005

Abstract

Objective: To determine whether, in infants with a tongue-tie and a feeding problem, the current medical treatment (referral to a lactation consultant) or immediate division works best and enables the infants to feed normally.

Methods: Between March and July 2002, all the babies in the district of Southampton with tongue-ties were followed in order to see if they had any feeding problems. If they developed problems, the mothers gave written consent and were enrolled in an ethics committee approved, randomized, controlled trial, comparing 48 h of intensive lactation consultant support (control) with immediate division.
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Congenital Tongue-tie and Its Impact on Breastfeeding

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Elizabeth Coryllos, MD, MSs, FAAP, FACS, FRCSc, IBCLC
Catherine Watson Genna, BS, IBCLC
Alexander C. Salloum, MD, MA

Newsletter of the American Academy of Pediatrics – Summer 2004

Introduction

Many of today’s practicing physicians were taught that treatment of tongue-tie, (ankyloglossia) is an outdated concept – a relic of times past. Among breastfeeding specialists tongue-tie has emerged as a recognized cause of breastfeeding difficulties – and a very easily corrected one.
During the last several decades of predominant bottle-feeding, tongue-tie was relegated to the status of a “non-problem” because of the lack of significant impact upon bottle feeding behaviors.
The goal of this article is to alert pediatricians to the potential link between tongue-tie and breastfeeding problems in order to expedite intervention in symptomatic cases.
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Breastfeeding and Frenulums

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Dr. Brian Palmer prezentációja kommentárokkal.

Introduction

I have been evaluating frenulums and the importance of breastfeeding for many years. I am hoping this presentation will help those who believe tight frenulums can have a negative impact on breastfeeding but have not had the documentation needed to convince a doctor or parent to do anything about it. I am hoping this presentation will give you that needed documentation.

It is falsely assumed that tight frenulums will go away by themselves and do not have consequences. There are NO MEDICAL OR DENTAL BENEFITS of having a tight lingual (under the tongue) or labial (lip side) frenulum.
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Ankyloglossia: Assessment, Incidence, and Effect of Frenuloplasty on the Breastfeeding Dyad

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Jeanne L. Ballard, MD, Christine E. Auer, RN, IBCLC and Jane C. Khoury, MS

PEDIATRICS Vol. 110 No. 5 November 2002, pp. e63

Abstract

Objective. Ankyloglossia in breastfeeding infants can cause ineffective latch, inadequate milk transfer, and maternal nipple pain, resulting in untimely weaning. The question of whether the performance of a frenuloplasty benefits the breastfeeding dyad in such a situation remains controversial. We wished to 1) define significant ankyloglossia, 2) determine the incidence in breastfeeding infants, and 3) measure the effectiveness of the frenuloplasty procedure with respect to solving specific breastfeeding problems in mother-infant dyads who served as their own controls.
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A 35-Year-Old Woman Experiencing Difficulty With Breastfeeding

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JAMA. 2001;285:73-80.

Ruth A. Lawrence, MD, Discussant

MRS C, A 35-YEAR-OLD COMMUNICATIONS PROfessional, has a 3-week-old child and has been experiencing difficulty with breastfeeding. Married and living in Boston, she receives care from an obstetrician-gynecologist, Dr T, at the Beth Israel Deaconess Medical Center and has commercial health insurance in a managed care plan.

Mrs C experienced menarche at age 12 years, had a miscarriage 2 years ago, and gave birth after an uncomplicated pregnancy to her first child. She ruptured membranes on her due date and had a vaginal delivery aided by oxytocin and epidural anesthesia. During pregnancy, she noted mild breast enlargement without nipple discharge.
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Galactocele: three distinctive radiographic appearances

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A Gómez, J M Mata, L Donoso and A Rams
Radiology 1986; 158:43-44

Abstract

Three radiographic appearances of galactocele of the breast not, to our knowledge, described previously in the literature were studied in 11 patients.

Mammary nodules with distinct and separate hydro-fat levels were observed in five cases. A nodule containing mixed water and fat densities was seen in one patient, while in the five remaining patients, pneumocystograms revealed masses of a water density mixed with the injected air.

A cikk teljes szövege a Radiology oldalán olvasható.

Radiology főoldal
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