{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:28:22Z","timestamp":1792290502702,"version":"4.4.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2013,3,20]],"date-time":"2013-03-20T00:00:00Z","timestamp":1363737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Tongue-tie or ankyloglossia is a congenital condition that negatively affects breastfeeding. The thickened, tightened, or shortened frenulum affects the infant\u2019s ability to suck and frequently results in sore and painful nipples. Although several studies have investigated outcomes associated with treatment of tongue-tie, none have investigated mothers\u2019 experiences of breastfeeding an infant with tongue-tie.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to understand the breastfeeding experiences of women whose infants have tongue-tie.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A hermeneutic phenomenological design was employed. Data were collected using focused interviews and, following transcription, were analyzed in the phenomenological tradition. Ten women who presented at a breastfeeding clinic with feeding problems, and were diagnosed with tongue-tie, were interviewed on 2 occasions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The analysis revealed a common story of tension between the mothers\u2019 expectations and the breastfeeding challenges they faced. Their journey was characterized by 6 distinct phases described in the following themes: Expectations; Something is wrong; Questioning, seeking advice, no real answers; Symptoms and perseverance; Approaching the wall\u2014it\u2019s all too much; and finally, Relief.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The women in this study described a somewhat harrowing journey, which was at odds with the natural experience they had anticipated. They encountered health professionals who were found to have limited knowledge of tongue-tie and its potential effect on breastfeeding and were unable to provide appropriate advice concerning their breastfeeding difficulties. However, following treatment with frenotomy, their breastfeeding experience improved dramatically. The reported incidence of tongue-tie is significant, and early identification and prompt and effective management would contribute to improved breastfeeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334413479174","type":"journal-article","created":{"date-parts":[[2013,3,21]],"date-time":"2013-03-21T01:05:02Z","timestamp":1363827902000},"page":"190-195","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Understanding the Experiences of Mothers Who Are Breastfeeding an Infant with Tongue-Tie"],"prefix":"10.1177","volume":"29","author":[{"given":"Janet Elizabeth","family":"Edmunds","sequence":"first","affiliation":[{"name":"Child Health, West Moreton Hospital and Health Service, Ipswich, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Fulbrook","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Australia"},{"name":"The Prince Charles Hospital, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Miles","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Australia"},{"name":"The Prince Charles Hospital, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,3,20]]},"reference":[{"key":"bibr1-0890334413479174","volume-title":"Evidence on the Long-Term Effects of Breastfeeding: Systematic Reviews and Meta-Analyses","author":"Horta BL","year":"2007"},{"key":"bibr2-0890334413479174","volume-title":"Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries","author":"Ip S","year":"2007"},{"key":"bibr3-0890334413479174","volume-title":"Food for Health. Dietary Guidelines for Children and Adolescents in Australia. A Guide to Healthy Eating","author":"National Health and Medical Research Council","year":"2003"},{"key":"bibr4-0890334413479174","unstructured":"Australian Institute of Family Studies. Growing up in Australia: The Longitudinal Study of Australian Children, Annual Report 2006-2007. www.aifs.gov.au\/growingup\/pubs\/ar\/ar200607\/breastfeeding.html. Published 2008. Accessed August 6, 2011."},{"key":"bibr5-0890334413479174","first-page":"22","volume":"11","author":"Hillan R","year":"2008","journal-title":"Pract Midwife"},{"key":"bibr6-0890334413479174","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2006.01.004"},{"key":"bibr7-0890334413479174","volume-title":"Supporting sucking skills in breastfeeding infants","author":"Watson Genna C","year":"2008"},{"key":"bibr8-0890334413479174","doi-asserted-by":"publisher","DOI":"10.1177\/0890334404266976"},{"key":"bibr9-0890334413479174","first-page":"686","volume":"35","author":"Amir L","year":"2006","journal-title":"Aust Fam Physician"},{"key":"bibr10-0890334413479174","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.18.1.1"},{"key":"bibr11-0890334413479174","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2005.00603.x"},{"key":"bibr12-0890334413479174","first-page":"389","volume":"13","author":"Blenkinsop A","year":"2003","journal-title":"MIDIRS Midwifery Digest"},{"key":"bibr13-0890334413479174","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.05.024"},{"key":"bibr14-0890334413479174","first-page":"19","volume":"19","author":"Edmunds J","year":"2011","journal-title":"Breastfeed Rev"},{"key":"bibr15-0890334413479174","first-page":"7","volume":"80","author":"Dinkel S","year":"2005","journal-title":"Kans Nurse"},{"key":"bibr16-0890334413479174","first-page":"516","volume":"24","author":"Donalek JG","year":"2004","journal-title":"Urol Nurs"},{"key":"bibr17-0890334413479174","volume-title":"Qualitative Research in Health: An Introduction","author":"Grbich C","year":"1999"},{"key":"bibr18-0890334413479174","volume-title":"Researching Lived Experience: Human Science for an Action Sensitive Pedagogy","author":"Van Manen M","year":"1999"},{"key":"bibr19-0890334413479174","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.04.003"},{"key":"bibr20-0890334413479174","doi-asserted-by":"crossref","unstructured":"Cordova do Espirito Santo L, Dias de Oliveira L, Giugliani ERJ. Factors associated with low incidence of exclusive breastfeeding for the first 6 months.\n                      Birth\n                      . 2007;34:212-219.","DOI":"10.1111\/j.1523-536X.2007.00173.x"},{"key":"bibr21-0890334413479174","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00359-1"},{"key":"bibr22-0890334413479174","volume-title":"Fourth Generation Evaluation","author":"Guba EG","year":"1989"}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334413479174","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0890334413479174","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334413479174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:34:37Z","timestamp":1777502077000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0890334413479174"}},"subtitle":["A Phenomenological Study"],"short-title":[],"issued":{"date-parts":[[2013,3,20]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1177\/0890334413479174"],"URL":"https:\/\/doi.org\/10.1177\/0890334413479174","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,20]]}}}