Frenillo

Si el dolor en los pezones no mejora a pesar de estar dando pecho en una posición y colocación adecuada puede que el bebé tenga frenillo. Su lengua no puede salir fuera de su boca y por lo tanto no puede prenderse bien en el pecho, ya que para mamar bien se debe sacar la lengua  para hacer un buen cierre de su boca contra el pecho y la lengua es encargada de ayudar con esto. Otras veces el frenillo puede ser en los labios ya que estos deben salir hacia fuera para completar el sello y el bebé mamar sacando su leche efectivamente y sin provocar dolor en la madre. Si sospecha que su bebé tiene frenillo o si la consultora en lactancia o Líder de la Liga de la leche lo ha detectado es importante acudir a un especialista de inmediato. Hable con su pediatra. Puede que sea referida a un odontopediatra también.

Videos

International Breastfeeding Centre Soltar La Lengua Presa

Tongue–tie Release

International Breastfeeding Centre El bebé de 4 días después ser liberado de su condición de lengua presa con compresiones

4 Day Old After Tongue-tie Release With Compressions

Referencias 

ABM Protocolo clínico de la ABM #17 Lineamientos para la lactancia materna en bebés con labio leporino, labio o paladar hendido o ambos Academy of Breastfeeding Medicine, Volumen 2 No 4, 2007, Mary Ann Liebert, Inc.

Genna, CW Frenillo corto y lactancia LEAVEN, Vol. 38 No. 2, April-May 2002, pp. 27-29.

Referencias en inglés

ABM Protocols Protocol # 11: Guidelines for the evaluation and management of neonatal ankyloglossia and its complications in the breastfeeding dyad

Amir, L.H., James, J.P., Beatty, J.  Review of tongue-tie at a tertiary maternity hospital. J Ped Ch Health. 2005. 41: 243-45.

Amir LH., James JP., Donath SM. Reliability of the hazelbaker assessment tool for lingual frenulum function. Int Breastfeed J. 2006 Mar 9;1(1):3.

Ankyloglossia and breastfeeding Paediatr Child Health. 2002 April; 7(4): 269–270

Ankyloglossia and breastfeeding Position Statement. Canadian Pediatric Society, April 2011

Ankyloglossia (Tongue-Tie), Newborn Services Clinical Guideline, 2005

Ballard, J., Auer, C., Khoury, J. Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad.  Pediatrics 2002 Nov; 110(5):e63.

Ballard Tongue-Tie A short frenulum – associated problems and solutions Newborn Medicine

Bovey, A., Noble, R., Noble, M. Orofacial exercises for babies with breastfeeding problems? Breastfeed Rev 1999 Mar; 7(1):23-8.

Chu, M.W. and D.C. Bloom. Posterior ankyloglossia: a case report. Int J Pediatr Otorhinolaryngol.  2009 Jun;73(6):881-3

Coryllos, E.  Watson Genna, C.  Salloum, A.  Congenital tongue-tie and its impact on breastfeeding  American Academy of Pediatrics Section on Breastfeeding Newsletter, Summer 2004, 1-6, 2004

Dollberg, S. et al. 2006. Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. J Pediatr Surg 41(9):1598- 600.

Geddes, D.T. et al. 2008. Frenulotomy for breastfeeding infants with ankyloglossia: effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics 122(1):e188-94.

Geddes, D.T. Kent, J.C., McClellan, H.L., Garbin, C.P., Chadwick, L.M., Hartmann, P.E. 2009. Sucking characteristics of successfully breastfeeding infants with ankyloglossia: a case series. Acta Paediatr (2):301-3.

Genna, CW, Is My Baby Tongue-tied?

Genna, CW Tongue-Tie and Breastfeeding LEAVEN, Vol. 38 No. 2, April-May 2002, pp. 27-29.

Forlenza, G. et al, Ankyloglossia, Exclusive Breastfeeding, and Failure to Thrive, Pediatrics Vol. 125 No. 6, 1500 -1504. 2010

Frenotomy  Stanford School of Medicine, 2012

Han SH, Kim MC, Choi YS, Lim JS, Han KT. A study on the genetic inheritance of ankyloglossia based on pedigree analysis. Arch Plast Surg. 2012 Jul;39(4):329-32. doi: 10.5999/aps.2012.39.4.329. Epub 2012 Jul 13.

Hazelbaker, A. Ankyloglossia: Assessment, Incidence, and Effect of Frenuloplasty on the Breastfeeding Dyad – Hazelbaker Assessment Tool for Lingual Frenulum Function PEDIATRICS November 1, 2002 vol. 110 no. 5

Hong P, Lago D, Seargeant J, Pellman L, Magit AE, Pransky SM., Defining ankyloglossia: a case series of anterior and posterior tongue ties. Int J Pediatr Otorhinolaryngol 2010; 74(9):1003-6

Karabulut, R. et al. 2006. Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch. Breastfeed Med 1(4):216-24.

Karns L Breastfeeding Troubles and Posterior Tongue Tie: A Sneaky CulpritMothering, Sept 24, 2012

Kassing, D. Breastfeeding and CranioSacral Therapy: When It Can Help. 2008

Knox, I. 2010. Tongue Tie and Frenotomy in the Breastfeeding Newborn. Neoreviews 11: 513-519.

Kotlow L. Breastfeeding can be enjoyable

Kotlow L. Breastfeeding should be fun and enjoyable, why does it hurt when I breastfeed?, 2011

Kotlow L. Helping mother’s breastfeed their newborn infants

Kotlow, L. Infant Reflux and Aerophagia Associated with the Maxillary Lip-tie and Ankyloglossia (Tongue-tie) Clinical Lactation, 2011, Vol. 2-4, 25-29

Kotlow LA. The influence of the maxillary frenum on the development and pattern of dental caries on anterior teeth in breastfeeding infants: prevention, diagnosis, and treatment. J Hum Lact. 2010 Aug;26(3):304-8.

Lalakea, M.L. and A.H. Messner. 2003. Ankyloglossia: does it matter? Pediatr Clin North Am 50(2):381-97.

Madlon-Kay, D.J., Ricke, L.A., Baker, N.J., et al. 2008. Case series of 148 tongue-tied newborn babies evaluated with the assessment tool for lingual frenulum function. Midwifery 24(3):353-7.

Marmet, C., Shell, E., Marmet R Neonatal Frenotomy May be Necessary to Correct Breastfeeding Problems J Hum Lact September 1990 vol. 6 no. 3 117-121

Messner, A.H. et al. 2000. Ankyloglossia: incidence and associated feeding difficulties. Arch Otolaryngol Head Neck Surg 126(1):36-9.

Mulford C The Mother-Baby Assessment (MBA): An “Apgar Score” for Breastfeeding J Hum Lact June 1992 vol. 8 no. 2 79-82

Ngerncham S; Laohapensang M; Wongvisutdhi T; Ritjaroen Y; Painpichan N; Hakularb P; Gunnaleka P; Chaturapitphothong P Lingual frenulum and effect on breastfeeding in Thai newborn infants Paediatrics and International Child Health  August 14, 2012

Noble, R. and Bovey, A.  Therapeutic teat use for babies who breastfeed poorly.  Breastfeed Rev 1997; 5(2):37-42.

Notestine, G. The Importance of the Identification of Ankyloglossia (Short Lingual Frenulum) as a Cause of Breastfeeding Problems J Hum Lact September 1990 vol. 6 no. 3 113-115

Øyen, N, et al Familial Recurrence of Midline Birth Defects—A Nationwide Danish Cohort Study,  Am. J. Epidemiol. 2009

Palmer B. Breastfeeding and Frenulums December, 2003

Ricke, L.A., Baker, N.J., Madlon-Kay, D.J. et al. 2005. Newborn tongue-tie: Prevalence and effect on breast-feeding. J Am Board Fam 18:1.

Srinivasan, A., Dobrich, C., Mitnick, H., et al. 2006. Ankyloglossia in breastfeeding infants: The effect of frenotomy on maternal nipple pain and latch. Breastfeeding Med 1:216.

Suchetan Pradhan, Effath Yasmin, Amrita Mehta. Management of Posterior Ankyloglossia using the Er,Cr:YSGG Laser. International Journals-10022-1016 CASE REPORT.

Ricke LA, Baker NJ, Madlon-Kay DJ, DeFor TA Newborn tongue-tie: prevalence and effect on breast-feeding. J Am Board Fam Pract. 2005 Jan-Feb;18(1):1-7.

Ritter N. Tell Me About Tongue Ties! Breaastfeeding USA, 2013

Tanya How does tongue tie impact breastfeeding? A podcast interview with Catherine Watson Genna, MotherLove, Oct 2012.

The sweet release. Blacktating, 2013

Wallace, H., Clarke, S. 2006. Tongue-tie division in infants with breast feeding difficulties. Int J Pediat Otorhinolaryngol 70:1257.