000			01988nam a22001577a 4500
005			20230717175252.0
008			230717b ph ||||| |||| 00| 0 eng d
040			_cOCT
240			_aTheAmerican Journal of Maternal/Child Nursing/ _hJanuary/February 2023
245			_aBreasfeeding sysmptoms with tongue-and lip-tie / _cRebecca R. HIll, Melissa A. RIchard, and Britt F. Pados
260			_aHagerstown, MD : _bWolters Kluwer Health, INC, _c2023
300			_aVol 48 (1) : page 17-23
505			_aABSTRACT : Purpose : The aims of this study were to describe maternal and infant symptoms relative to tongue-and lip-tie severity and describe changes in symptoms and feeding efficiency from pre-to post-frenotomy. Study Design and Methods : A one-group pre-and post intervention study design was used. Data from a dental practice were collected from medical records of infants less than 1 year old who underwent a frenotomy procedure for tongue-and/or lip-tie. Infant and or lip-tie. Infant and maternal symptoms were compared with severity of tongue-and lip-tie using binary logistic regression.Wilcoxon Signed Rank test compared pain scores and feeding duration pre-and post-frenotomy.Linear regression compared total number of symptoms reported prefrenotomy with tongue-and lip-tie severity. Results : N=121 dyads were included. More severe classifications of tongue-and lip-tie were significantly associated with certain infant and maternal symptoms pre-frenotomy. Improvements were noted in all reported infants symptoms post-frenotomy. Clinical Implications : Infants and mothers experience problematic symptoms with feeding associated with tongue-and lip-tie.Nurses are the primary care providers during postpartum and should be alert to signs and symptoms that may suggest oral restrictions. Early evaluation and involvement of feeding experts may improve the breastfeeding experience of the dyad.
650			_aBreastfeeding
942			_2ddc _cCR _n0
999			_c8859 _d8859