{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:28:21Z","timestamp":1792290501936,"version":"4.4.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,12,13]],"date-time":"2018-12-13T00:00:00Z","timestamp":1544659200000},"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":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Infant tongue-tie can cause breastfeeding problems, which may be improved by frenotomy. However, controversy exists among the medical community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aim:<\/jats:title>\n                    <jats:p>To examine the influence of frenotomy on infants with posterior ankyloglossia, by quantifying the changes in breastfeeding and maternal nipple pain using standardized tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Newborns (\n                      <jats:italic>N<\/jats:italic>\n                      = 30) below 12 weeks of age were recruited from the Herzl\u2013Goldfarb Breastfeeding Clinic between April 2014 and April 2015. Diagnosis of posterior ankyloglossia was made clinically. Frenotomy was performed. Mothers received breastfeeding counseling before and after the procedure. Pain and breastfeeding were assessed before the procedure, immediately after the procedure, and after 2 days, 7 days and 14 days. Breastfeeding was assessed using the LATCH Tool and by subjective questioning. Maternal nipple pain was assessed using the Numeric Rating System.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      No complications were reported with frenotomy. There was a significant improvement in LATCH score immediately post-frenotomy, with an increase in median scores from 7.5 to 8.5 (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .0001, Wilcoxon signed rank test). There was a significant decrease in median pain score immediately post-frenotomy, from 3.0 on the left nipple and 3.25 on the right nipple, to 0 bilaterally (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .0001, Wilcoxon signed rank test). Subjective improvement in breastfeeding was reported by 90% of mothers immediately after frenotomy and 83% of mothers at Day 14.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Frenotomy for posterior ankyloglossia may improve breastfeeding and nipple pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334418816973","type":"journal-article","created":{"date-parts":[[2018,12,13]],"date-time":"2018-12-13T19:19:55Z","timestamp":1544728795000},"page":"706-712","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Frenotomy in Infants with Tongue-Tie and Breastfeeding Problems"],"prefix":"10.1177","volume":"35","author":[{"given":"Anjana","family":"Srinivasan","sequence":"first","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, Canada"},{"name":"Herzl\u2013Goldfarb Breastfeeding Clinic, Herzl Family Practice Centre, Jewish General Hospital, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Al Khoury","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svetlana","family":"Puzhko","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole","family":"Dobrich","sequence":"additional","affiliation":[{"name":"Herzl\u2013Goldfarb Breastfeeding Clinic, Herzl Family Practice Centre, Jewish General Hospital, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meira","family":"Stern","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, Canada"},{"name":"Herzl\u2013Goldfarb Breastfeeding Clinic, Herzl Family Practice Centre, Jewish General Hospital, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Mitnick","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, McGill University, Montreal, Canada"},{"name":"Herzl\u2013Goldfarb Breastfeeding Clinic, Herzl Family Practice Centre, Jewish General Hospital, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenore","family":"Goldfarb","sequence":"additional","affiliation":[{"name":"Herzl\u2013Goldfarb Breastfeeding Clinic, Herzl Family Practice Centre, Jewish General Hospital, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,12,13]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2014.0018"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-1-3"},{"key":"e_1_3_3_4_1","unstructured":"Canadian Agency for Drugs and Technologies in Health. (2016). Frenectomy for the correction of ankyloglossia: A review of clinical effectiveness and guidelines. Rapid Response Report: Summary with Critical Appraisal. Retrieved from the Canadian Agency for Drugs and Technologies in Health website: https:\/\/www.cadth.ca\/sites\/default\/files\/pdf\/htis\/june2016\/RC0785%20Frenectomy%20Final.pdf."},{"key":"e_1_3_3_5_1","first-page":"1","article-title":"Congenital tongue-tie and its impact on breastfeeding. Breastfeeding: Best for Mother and Baby","author":"Coryllos E.","year":"2004","unstructured":"Coryllos E., Watson Genna C., Salloum A. (2004). Congenital tongue-tie and its impact on breastfeeding. Breastfeeding: Best for Mother and Baby. American Academy of Pediatrics, 1\u20136.","journal-title":"American Academy of Pediatrics"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334414548676"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2013.0103"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334413479174"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305031"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.005"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2651"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26306"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2014.0040"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307503"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.12429"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.1994.tb01847.x"},{"key":"e_1_3_3_17_1","volume-title":"Breastfeeding: A Guide for the medical profession","author":"Lawrence R. A.","year":"2015","unstructured":"Lawrence R. A., Lawrence R. M. (2015). Breastfeeding: A Guide for the medical profession. Philadelphia, PA: Elsevier Inc."},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1590\/1982-021620161868716"},{"key":"e_1_3_3_19_1","volume-title":"Pain: Clinical Manual for Nursing Practice","author":"McCaffery M.","year":"1993","unstructured":"McCaffery M., Beebe A. (1993). Pain: Clinical Manual for Nursing Practice. Baltimore: V.V. Mosby Company."},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.01.003"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.02.022"},{"key":"e_1_3_3_22_1","article-title":"Frenotomy for tongue-tie in newborn infants (Review)","volume":"3","author":"O\u2019Shea J. E.","year":"2017","unstructured":"O\u2019Shea J. E., Foster J. P., O\u2019Donnell C. P. F., Breathnach D., Jacobs S. E., Todd D. A., Davis P. G. (2017). Frenotomy for tongue-tie in newborn infants (Review). Cochrane Database of Systematic Reviews, 3. doi:10.1002\/14651858.CD011065.pub2","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/089033440101700105"},{"key":"e_1_3_3_24_1","article-title":"Taux d\u2019allaitement \u00e0 Montr\u00e9al","author":"R\u00e9gie de l\u2019assurance maladie du Qu\u00e9bec","year":"2018","unstructured":"R\u00e9gie de l\u2019assurance maladie du Qu\u00e9bec. (2018). Taux d\u2019allaitement \u00e0 Montr\u00e9al. Banque provinciale du syst\u00e8me d\u2019information sur la client\u00e8le et les services en CLSC [document interne].","journal-title":"Banque provinciale du syst\u00e8me d\u2019information sur la client\u00e8le et les services en CLSC"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.02.005"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2006.1.216"}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334418816973","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0890334418816973","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334418816973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:32:50Z","timestamp":1777501970000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0890334418816973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,13]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1177\/0890334418816973"],"URL":"https:\/\/doi.org\/10.1177\/0890334418816973","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,13]]}}}