Abstract

To analyze the association between ankyloglossia and breastfeeding. A cross-sectional study was undertaken on 130 newborn infants in exclusive breastfeeding with Apgar score ≥ 8 within the first five days of life. The research was approved by the Ethics Committee on Human Research. The data collection was performed by the researcher and by three trained speech therapists of the team. The protocols applied were the Neonatal Tongue Screening Test from the Lingual Frenulum Protocol for Infants, the UNICEF Breastfeeding Observation Aid, and the collection of maternal complaints related to the difficulty in breastfeeding was also considered. The data were submitted to statistical analysis - chi-square test and Fisher's exact test, with a significance level of 5%. When correlating the data, the statistical analysis revealed an association between ankyloglossia and the items of suckling category of the Breastfeeding Observation Aid. The association between complaint of difficulty in breastfeeding and ankyloglossia was also seen. On the first days of life, ankyloglossia is associated with the mother's breastfeeding complaint and with the newborn's sucking difficulty.

Highlights

  • The advantages of breastfeeding for the puerperal woman and for the newborn’s life are widely discussed in the literature[1]

  • According to the World Health Organization (WHO), the exclusive breastfeeding for a 6-month period and the complementary feeding up to two years old or more are key to reach the advantages mentioned above[6]

  • Besides being conscious of the advantages of breastfeeding for the baby and his mother, every health professional who assists the mother/infant dyad must be aware of the prevention and management of the main problems that can occur during breastfeeding, aiming at the prevention of early weaning

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Summary

Introduction

The advantages of breastfeeding for the puerperal woman and for the newborn’s life are widely discussed in the literature[1]. According to the World Health Organization (WHO), the exclusive breastfeeding for a 6-month period and the complementary feeding up to two years old or more are key to reach the advantages mentioned above[6]. In this context, besides being conscious of the advantages of breastfeeding for the baby and his mother, every health professional who assists the mother/infant dyad must be aware of the prevention and management of the main problems that can occur during breastfeeding, aiming at the prevention of early weaning. The causes of early weaning are multifactorial; the literature reports nipple trauma[7], the family’s socioeconomic and intellectual issues, lack of specific guidance by health professionals, use of pacifiers and artificial formulas, and the mother’s return to work[8,9].

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