{"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":1792290501666,"version":"4.4.0"},"reference-count":25,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,11,1]]},"abstract":"<jats:p>Ankyloglossia (tongue tie) is a well-recognized cause of breastfeeding difficulties and, if untreated, can cause maternal nipple pain and trauma, ineffective feeding, and poor infant weight gain. In some cases, this condition will result in a downregulation of the maternal milk supply. Milk-production measurements (24-hour) for a breastfeeding infant with ankyloglossia revealed the ineffective feeding of the infant (78 mL\/24 hours), and a low milk supply (350 mL\/24 hours) was diagnosed. Appropriate management increased milk supply (1254 mL\/24 hours) but not infant milk intake (190 mL\/24 hours). Test weighing convincingly revealed the efficacy of frenotomy, increasing breastfeeding milk transfer from 190 to 810 mL\/24 hours. Postfrenotomy, breastfeeding almost completely replaced bottle-feeding of expressed breast milk. This case study confirms that ankyloglossia may reduce maternal milk supply and that frenotomy can improve milk removal by the infant. Milk-production measurements (24-hour) provided the evidence to confirm these findings.<\/jats:p>","DOI":"10.1542\/peds.2012-2651","type":"journal-article","created":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T01:10:17Z","timestamp":1381194617000},"page":"e1413-e1417","source":"Crossref","is-referenced-by-count":25,"title":["Evidence of Improved Milk Intake After Frenotomy: A Case Report"],"prefix":"10.1542","volume":"132","author":[{"given":"Catherine Peta","family":"Garbin","sequence":"first","affiliation":[{"name":"School of Chemistry and Biochemistry, Faculty of Life and Physical Sciences, The University of Western Australia, Crawley, Australia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa Susanna","family":"Sakalidis","sequence":"additional","affiliation":[{"name":"School of Chemistry and Biochemistry, Faculty of Life and Physical Sciences, The University of Western Australia, Crawley, Australia; 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