{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:51:14Z","timestamp":1777852274574,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"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":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite limited clinical consensus regarding surgery for tethered oral tissues (\u201ctongue-tie\u201d) for resolving breastfeeding-related issues, the procedure has been increasing in the United States. Greater understanding of maternal experiences with obtaining surgical release may help to improve breastfeeding outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To explore experiences of breastfeeding mothers with infants having undergone \u201ctongue-tie\u201d surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      This online, cross-sectional, observational survey occurred between August and September 2020. Eligibility included being\n                      <jats:underline>\u2265<\/jats:underline>\n                      18\u2009years of age and previously or currently breastfeeding an infant with\n                      <jats:underline>\u2265<\/jats:underline>\n                      1 tissue surgically released. Of 463 screens, 318 mothers were eligible and 115 consented. The final sample was 90.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The sample was predominantly white (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200986; 95%), non-Hispanic (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200984; 93%), married\/cohabitating (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200985; 94%), and currently providing their own milk (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200981; 89%).\n                    <\/jats:p>\n                    <jats:p>\n                      Difficult latch was the primary reason for seeking help. Participants reported lingual (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200984; 93%), labial (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200979; 88%), and buccal (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916; 17%) tissue-release, with 80% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200973) reporting &gt; 1 released. For each tissue released, &gt; 80% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200972) of participants felt \u201cvery confident\u201d in their ability to correctly identify it and 97% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200987) felt \u201cvery involved\u201d and \u201cstrongly agreed\u201d with surgical release. International Board Certified Lactation Consultants\n                      <jats:sup>\u00ae<\/jats:sup>\n                      were the most frequently identified source of information (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945; 50%) and referrals (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200938; 42%), while pediatric dentists most frequently performed interventions (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200960; 67%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Participants reported being confident, involved, and in agreement with surgical release and lactation support professionals were frequent information and referral sources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344231159378","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T02:01:11Z","timestamp":1679450471000},"page":"505-514","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Tethered Oral Tissue Release Among Breastfed Infants: Maternal Sources of Information and Treatment"],"prefix":"10.1177","volume":"39","author":[{"given":"Taylor","family":"Winkel","sequence":"first","affiliation":[{"name":"Department of Nutrition, University of Tennessee Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Audiology and Speech Pathology, University of Tennessee Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marsha","family":"Spence","sequence":"additional","affiliation":[{"name":"Department of Nutrition, University of Tennessee Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Colby","sequence":"additional","affiliation":[{"name":"Department of Nutrition, University of Tennessee Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cary","family":"Springer","sequence":"additional","affiliation":[{"name":"Office of Information Technology, Research Computing Support, University of Tennessee Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Hedrick","sequence":"additional","affiliation":[{"name":"Department of Audiology and Speech Pathology, University of Tennessee Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5335-2016","authenticated-orcid":false,"given":"Katherine","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Department of Nutrition, University of Tennessee Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,21]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Aaronson N. 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