{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T13:27:44Z","timestamp":1772112464525,"version":"3.50.1"},"reference-count":26,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics: Clinical Practice"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jpedcp.2025.200195","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T10:17:19Z","timestamp":1763374639000},"page":"200195","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Prevalence of Ankyloglossia in Portuguese Newborns and Its Effect on Exclusive Breastfeeding and Maternal Nipple Pain During Postpartum Hospitalization"],"prefix":"10.1016","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0893-2748","authenticated-orcid":false,"given":"J. Morgado","family":"Dias","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Abanto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Correia","family":"Pinto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Areias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Soares","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpedcp.2025.200195_bib1","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/MPG.0000000000001454","article-title":"Complementary feeding: a position paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) committee on nutrition","volume":"64","author":"Fewtrell","year":"2017","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpedcp.2025.200195_bib2","doi-asserted-by":"crossref","first-page":"e827","DOI":"10.1542\/peds.2011-3552","article-title":"Breastfeeding and the use of human milk","volume":"129","author":"Eidelman","year":"2012","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpedcp.2025.200195_bib4","series-title":"Innocenti declaration on the protection, promotion and support of breastfeeding","year":"1990"},{"key":"10.1016\/j.jpedcp.2025.200195_bib5","author":"Kislaya"},{"key":"10.1016\/j.jpedcp.2025.200195_bib6","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1002\/lio2.397","article-title":"Imaging the breastfeeding swallow: pilot study utilizing real-time MRI","volume":"5","author":"Mills","year":"2020","journal-title":"Laryngoscope Invest Otolaryngol"},{"key":"10.1016\/j.jpedcp.2025.200195_bib7","series-title":"Policy on management of the frenulum in pediatric patients. The Reference Manual of Pediatric Dentistry","first-page":"73","year":"2024"},{"key":"10.1016\/j.jpedcp.2025.200195_bib8","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1002\/ca.23410","article-title":"Defining the anatomy of the neonatal lingual frenulum","volume":"32","author":"Mills","year":"2019","journal-title":"Clin Anat"},{"key":"10.1016\/j.jpedcp.2025.200195_bib9","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2024-067605","article-title":"Identification and management of Ankyloglossia and its effect on breastfeeding in infants: clinical report","volume":"154","author":"Thomas","year":"2024","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpedcp.2025.200195_bib10","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1089\/bfm.2021.29179.ylf","article-title":"Academy of breastfeeding medicine position statement on Ankyloglossia in breastfeeding dyads","volume":"16","author":"Lefort","year":"2021","journal-title":"Breastfeed Med"},{"key":"10.1016\/j.jpedcp.2025.200195_bib11","first-page":"11","article-title":"Tongue-tie in the newborn: early diagnosis and division prevents poor breastfeeding outcomes","volume":"23","author":"Todd","year":"2015","journal-title":"Breastfeed Rev"},{"key":"10.1016\/j.jpedcp.2025.200195_bib12","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/apa.16609","article-title":"Severity and prevalence of ankyloglossia-associated breastfeeding symptoms: a systematic review and meta-analysis","volume":"112","author":"Cordray","year":"2023","journal-title":"Acta Paediatr"},{"key":"10.1016\/j.jpedcp.2025.200195_bib13","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1016\/j.adaj.2022.07.011","article-title":"Prevalence of ankyloglossia according to different assessment tools: a meta-analysis","volume":"153","author":"Cruz","year":"2022","journal-title":"J Am Dent Assoc"},{"key":"10.1016\/j.jpedcp.2025.200195_bib14","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1891\/2158-0782.8.3.132","article-title":"Assessment tool for lingual frenulum function (ATLFF)","volume":"8","author":"Hazelbaker","year":"2017","journal-title":"Clin Lactation"},{"key":"10.1016\/j.jpedcp.2025.200195_bib15","series-title":"Baby-Friendly Hospital initiative: revised, updated and expanded for integrated care","year":"2009"},{"key":"10.1016\/j.jpedcp.2025.200195_bib16","doi-asserted-by":"crossref","first-page":"416","DOI":"10.20344\/amp.18692","article-title":"Prevalence and predictive factors of exclusive breastfeeding in the first six months of life","volume":"36","author":"Branco","year":"2023","journal-title":"Acta Med Port"},{"key":"10.1016\/j.jpedcp.2025.200195_bib17","doi-asserted-by":"crossref","first-page":"18","DOI":"10.21011\/apn.2021.2404","article-title":"Breastfeeding: prevalence and determining factors at maternity discharge and during the second month of life","volume":"24","author":"Santos Silva","year":"2021","journal-title":"Acta Med Port"},{"key":"10.1016\/j.jpedcp.2025.200195_bib19","series-title":"Comprehensive implementation plan on maternal, infant and young child nutrition. WHO\/NMH\/NHD\/14.1","first-page":"15","year":"2014"},{"key":"10.1016\/j.jpedcp.2025.200195_bib20","first-page":"229","article-title":"The impact of Paediatric Ankyloglossia on exclusive breastfeeding in Portugal: an online survey on mother\u2019s experiences","volume":"26","author":"Morgado Dias","year":"2025","journal-title":"Eur J Paediatr Dent"},{"key":"10.1016\/j.jpedcp.2025.200195_bib21","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1001\/jamaoto.2017.0948","article-title":"Diagnosis and treatment of Ankyloglossia in newborns and infants: a review","volume":"143","author":"Walsh","year":"2017","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jpedcp.2025.200195_bib22","first-page":"1902","article-title":"Ankyloglossia as a barrier to breastfeeding: a literature review","volume":"10","author":"Tomara","year":"2023","journal-title":"Children (Basel)"},{"key":"10.1016\/j.jpedcp.2025.200195_bib23","doi-asserted-by":"crossref","DOI":"10.1590\/2317-1782\/20182018264","article-title":"Association between ankyloglossia and breastfeeding","volume":"31","author":"Campanha","year":"2019","journal-title":"Codas"},{"key":"10.1016\/j.jpedcp.2025.200195_bib24","doi-asserted-by":"crossref","first-page":"4307","DOI":"10.1089\/bfm.2014.0072","article-title":"Tongue-tie and breastfeeding in newborns-mothers\u2019 perspective","volume":"9","author":"Riskin","year":"2014","journal-title":"Breastfeed Med"},{"key":"10.1016\/j.jpedcp.2025.200195_bib25","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1089\/bfm.2023.0182","article-title":"Ankyloglossia and breastfeeding duration: a multicenter birth cohort Study","volume":"19","author":"Feldens","year":"2024","journal-title":"Breastfeed Med"},{"key":"10.1016\/j.jpedcp.2025.200195_bib26","first-page":"e600","article-title":"Ankyloglossia in breastfeeding infants. An update","volume":"119","author":"Costa-Romero","year":"2021","journal-title":"Arch Argent Pediatr"},{"key":"10.1016\/j.jpedcp.2025.200195_bib27","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00431-020-03781-7","article-title":"Prevalence of neonatal ankyloglossia in a tertiary care hospital in Spain: a transversal cross-sectional study","volume":"180","author":"Maya-Enero","year":"2021","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.jpedcp.2025.200195_bib28","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1002\/lary.26306","article-title":"Breastfeeding improvement following tongue-tie and lip-tie release: a prospective cohort study","volume":"127","author":"Ghaheri","year":"2017","journal-title":"Laryngoscope"}],"container-title":["The Journal of Pediatrics: Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2950541025000572?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2950541025000572?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T12:42:46Z","timestamp":1772109766000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2950541025000572"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":26,"alternative-id":["S2950541025000572"],"URL":"https:\/\/doi.org\/10.1016\/j.jpedcp.2025.200195","relation":{},"ISSN":["2950-5410"],"issn-type":[{"value":"2950-5410","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence of Ankyloglossia in Portuguese Newborns and Its Effect on Exclusive Breastfeeding and Maternal Nipple Pain During Postpartum Hospitalization","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics: Clinical Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpedcp.2025.200195","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"200195"}}