What is the effect of frenotomy for tongue-tie on improving breastfeeding?

The Impact of Frenotomy on Breastfeeding for Infants with Tongue-Tie
Frenotomy, a minor surgical procedure that involves cutting the frenulum—the tissue connecting the underside of the tongue to the floor of the mouth—has emerged as a potential solution for infants diagnosed with tongue-tie, or ankyloglossia. This condition can hinder effective breastfeeding, leading to a range of challenges for both mothers and infants. The question of whether frenotomy significantly improves breastfeeding outcomes has sparked considerable debate among healthcare professionals and parents alike.
Understanding Tongue-Tie and Its Implications
Tongue-tie occurs when the frenulum is unusually short or thick, restricting the tongue’s movement. This limitation can affect an infant’s ability to latch properly during breastfeeding, potentially resulting in pain for the mother, inadequate milk transfer, and frustration for the baby. Studies indicate that while some infants with tongue-tie may not experience significant feeding difficulties, a substantial number do face challenges that can impact breastfeeding success.
The Frenotomy Procedure
Frenotomy is a quick and relatively simple procedure that can be performed in a clinical setting. It aims to release the tongue’s movement, thereby improving the infant’s ability to latch onto the breast effectively. According to recent research, many mothers report a noticeable improvement in breastfeeding after the procedure, including reduced nipple pain and enhanced milk intake by the infant.
Evidence of Improvement Post-Frenotomy
Research findings suggest that frenotomy can lead to significant improvements in breastfeeding outcomes. A study involving a cohort of breastfeeding mothers indicated that after the procedure, there was a marked increase in average breast milk intake within the first month. Additionally, mothers reported higher self-efficacy regarding breastfeeding, which is crucial for sustaining breastfeeding practices.
However, the benefits of frenotomy are not universally experienced. Some studies highlight that while many infants do show improvement in breastfeeding, others may not experience significant changes. This variability underscores the importance of thorough assessment and selection criteria before proceeding with the surgery.
Controversies and Considerations
Despite the positive outcomes reported by many, the effectiveness of frenotomy remains a topic of contention. Critics argue that the perceived benefits may sometimes stem from a placebo effect or from improved breastfeeding support provided alongside the procedure. Furthermore, it is essential to recognize that not all infants with tongue-tie will require surgical intervention; many can successfully breastfeed with appropriate support and techniques.
Conclusion
In summary, frenotomy appears to offer a viable solution for many infants struggling with tongue-tie, leading to improved breastfeeding experiences for both mothers and babies. While the procedure can alleviate some of the physical barriers to effective breastfeeding, it is crucial for healthcare providers to assess each case individually, considering both the potential benefits and the inherent risks. As the conversation around tongue-tie and breastfeeding continues to evolve, ongoing research will be vital in clarifying the role of frenotomy in enhancing breastfeeding success.

Why is my baby worse after tongue-tie release?

Muscle fatigue – After 5-10 days some babies, having improved, deteriorate with latch and feeding. This is due to muscle fatigue and usually resolves with continued feeding. Low tongue tone and tongue placement – Some babies will suffer with the effects of low tongue tongue in the first week or so after division.

What is the effects of frenotomy on breastfeeding?

This systematic review and meta-analysis showed that breastfeeding self-efficacy, maternal pain, infant latch, and infant gastroesophageal reflux significantly improve after frenotomy in mother-infant dyads with breastfeeding difficulties and ankyloglossia.

Does feeding get worse after tongue-tie release?

Changes in feeding patterns – Feeding patterns may change as babies are often less efficient after division initially due to low tongue tone and muscle fatigue. So, you may see a period of shorter and more frequent feeds. Breast compression can help with this.

How long after a frenectomy does breastfeeding improve?

Surgical release of tongue‐tie/lip‐tie results in significant improvement in breastfeeding outcomes. Improvements occur early (1 week postoperatively) and continue to improve through 1 month postoperatively.

What are the cons of removing a tongue-tie?

Complications of a frenotomy are rare — but could include bleeding or infection, or damage to the tongue or salivary glands.

What are the cons of frenotomy?

While a frenotomy is a relatively minor procedure, complications such as bleeding, infection, or feeding difficulty sometimes occur. So it’s never a good idea to do it just to prevent problems in the future. The procedure should only be considered if the tongue-tie is clearly causing trouble.

Does fixing a tongue-tie improve breastfeeding?

Breastfeeding scores improved by about 25 percent in the snipped-tongue babies, too, while they stayed the same in the sham-treated babies. So these aren’t miraculous improvements we’re talking about, but the percentages are also averages, so there could have been a range of responses.

Can a tongue-tie cause low milk supply?

If your baby has tongue-tie, you may experience: low milk supply reducing your milk supply as your baby is not latching on and feeding well. having sore or cracked nipples, which can make breastfeeding painful.

How do you get a deeper latch after a tongue-tie revision?

A deeper latch
Denting the breast at the edge of the areola with a finger and placing your baby’s chin in the dent may also help. You could also try placing your thumb or finger near the base of the nipple where your baby’s upper lip will be.

Does frenotomy improve breast feeding difficulties in infants with ankyloglossia?

Therefore, it is recommended that frenotomy be considered an effective approach to treatment of breastfeeding difficulties in infants with ankyloglossia.