New US study published on treatment of babies with tongue-tie
A newly-published study from the US reports that two-thirds of babies referred for frenotomy at a tertiary care centre were found not to need the procedure after they and their mothers received a comprehensive feeding assessment.
The study looked at 115 mother-baby pairs between March and December 2018, with the babies being 34 days old on average. The care centre developed a program of feeding examination with a paediatric speech and language pathologist. After the mothers and babies had undergone this program, 63% of the babies subsequently did not undergo a surgical procedure.
The BBC quoted Professor Mary Fewtrell, from the Royal College of Paediatrics and Child Health, as saying, "Whilst this new study sheds some light on this issue, as yet, we do not have enough data from good quality trials to know what is best for breastfeeding outcomes." Aiming to recruit 870 babies over two years, the FROSTTIE trial can make a substantial contribution to this evidence gap and provide the robust, high quality data that is needed to address this question.
Study citation: Caloway C, Hersh CJ, Baars R, Sally S, Diercks G, Hartnick CJ. Association of Feeding Evaluation With Frenotomy Rates in Infants With Breastfeeding Difficulties. JAMA Otolaryngol Head Neck Surg. Published online July 11, 2019. doi:10.1001/jamaoto.2019.1696