Ankyloglossia and breastfeeding: what is the evidence of association between them?
Anquiloglossia versus amamentação: qual a evidência de associação?
Mariana do Rêgo Barros de Andrade Fraga; Kamilla Azoubel Barreto; Thaís Christine Barbosa Lira; Pâmella Robertha Rosselinne Paixão Celerino; Izi Tuanny da Silva Tavares; Valdenice Aparecida de Menezes
Abstract
Purpose: to investigate the scientific evidence, in the literature, of the relationship between ankyloglossia and breastfeeding difficulties.
Methods: an integrative review of the literature. The MEDLINE and PubMed databases were searched, using the following descriptors in combination: “ankyloglossia”, “newborn” and “breastfeeding”. The searches included articles published between 2014 and 2019, in Portuguese, English and Spanish. Original articles demonstrating an association between ankyloglossia and breastfeeding issues were selected.
Results: a total of 31 articles was fully read in the analysis, 22 of which were excluded and 9 included in the review. There was a diversity of instruments used for the diagnosis of ankyloglossia. In four studies, no standardized evaluation instrument was used for the diagnosis of ankyloglossia, which may limit the analysis of the results. However, most studies have evidenced a possible influence of ankyloglossia on breastfeeding. According to the studies, babies with altered lingual frenulum were more likely to experience difficulties in sucking, showing early weaning, which shows the importance of neonatal screening as a routine protocol in maternity hospitals for the cases of ankyloglossia.
Conclusions: ankyloglossia may be related to impaired breastfeeding. The standardization of instruments for the diagnosis of ankyloglossia is necessary to improve the evidence in future research.
Keywords
Resumo
Objetivo: investigar as evidências científicas na literatura sobre a relação entre a anquiloglossia e as dificuldades no aleitamento materno.
Métodos: tratou-se de uma revisão integrativa. Foram realizadas buscas nas bases de dados Medline e Pubmed, utilizando os descritores em associação: “anquiloglossia”, “recém-nascido” e “amamentação”, entre 2014 e 2019, em português, inglês e espanhol. Foram selecionados artigos originais que relacionassem a anquiloglossia aos problemas de amamentação.
Resultados: trinta e um artigos foram analisados pelo texto lido na íntegra, dentre os quais 22 foram excluídos e 09 selecionados para a revisão. Houve uma diversidade de instrumentos utilizados para o diagnóstico da anquiloglossia. Em quatro estudos não foi utilizado nenhum instrumento de avaliação padronizado para o diagnóstico da anquiloglossia, o que pode limitar a análise dos resultados. No entanto, a maioria dos estudos evidenciou a possível interferência da anquiloglossia na amamentação. De acordo com as publicações, bebês com frênulo lingual alterado apresentaram maiores chances de apresentar dificuldades na sucção e desmame precoce, o que demonstra a importância da triagem neonatal como rotina nas maternidades para os casos de anquiloglossia.
Conclusões: a anquiloglossia pode estar relacionada com prejuízos na amamentação e a padronização dos instrumentos para diagnóstico da anquiloglossia é necessária para melhorar as evidências nas futuras pesquisas.
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References
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Submitted date:
08/07/2019
Accepted date:
03/19/2020
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