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Journal of Human Lactation
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Do Tongue Ties Affect Breastfeeding?

D. Mervyn Griffiths, MCh, FRCS

Wessex Regional Centre for Paediatric Surgery, Room EG 240, Southampton General Hospital, SO16 6YD, United Kingdom

This study assessed indications for and safety and outcome of simple division of tongue tie without an anesthetic. There were 215 infants younger than 3 months (mean 0-19 days) who had major problems breastfeeding, despite professional support. Symptoms, tongue tie details, safety of division, and complications were recorded. Feeding was assessed by the mothers immediately, at 24 hours, and 3 months after division. Prior to division, 88% had difficulty latching, 77% of mothers experienced nipple trauma, and 72% had a continuous feeding cycle. During division, 18% slept throughout; 60% cried more after division (mean 0-15 seconds). There were no significant complications. Within 24 hours, 80% were feeding better. Overall, 64% breastfed for at least 3 months (UK national average is 30%). Initial assessment, diagnosis, and help, followed by division and subsequent support by a qualified lactation consultant, might ensure that even more mothers and infants benefit from breastfeeding.

Key Words: infant • tongue tie • ankyloglossia • frenulum • frenotomy • pediatric surgery • lactation consultant • breastfeeding

Journal of Human Lactation, Vol. 20, No. 4, 409-414 (2004)
DOI: 10.1177/0890334404266976
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