The overall tone reflects high interest, as users discuss the limited and weak evidence supporting frenotomy's effectiveness, with some citing personal experiences and criticising the lack of conclusive results. Words like 'insufficient evidence,' 'weak studies,' and 'misleading information' demonstrate skepticism and concern, which reduce perceived agreement but foster active engagement and ongoing debate.
AgreementLow agreement
Most discussions express skepticism or critique the evidence, indicating mild disagreement with the publication's optimistic implications.
InterestHigh interest
Many posts show high curiosity about the subject, referencing ongoing debates, studies, and expert opinions.
EngagementModerate engagement
Posts actively discuss methodology, mention studies, and reference experts, demonstrating a moderate level of engagement.
ImpactNeutral impact
The discussions highlight ongoing scientific and clinical debates but do not suggest immediate widespread change, indicating a neutral impact.
Abstract in brief
This text discusses the condition called tongue-tie (ankyloglossia) in newborns, which is when the tissue under the tongue is tight and may hinder breastfeeding, causing nipple pain in mothers.
Frenotomy, a simple surgical procedure to cut the frenulum, is evaluated for safety and effectiveness in improving the infant's ability to feed, especially in those with feeding difficulties, and various factors such as severity, gestational age, and age at intervention are considered.
The research involved searching multiple medical databases for high-quality studies up to January 2017, focusing on trials comparing frenotomy to no procedure or sham, to determine whether the procedure better facilitates feeding in infants younger than three months.
Cochrane review:
➡️small, methodologically weak studies suggest a possible effect on nipple pain (I'm not convinced as studies are weak and pain ratings subjective)
➡️insufficient evidence that frenotomy (tongue tie surgery) improves breastfeeding
https://t.co/5Kx8rnqet7
Nov 24, 2024 · 37 likes · 8,000 followersView post →
Jan 4, 2024 · 8 likes · 20,901 followersView post →
DH
Dr Ruth Ann Harpur
@drruthannharpur · X
@kiityc @vk_wilde @RMatthewsPsyEdu But inconclusively they found some improvement in mother’s nipple pain and no clear evidence of improved breastfeeding so… why is the nhs providing misleading information here?
https://t.co/5Kx8rnqet7
@sue_haddon @RMatthewsPsyEdu @NatMatVoicesorg But the evidence on frenotomy for tongue ties is fairly equivocal so another example of services putting the cart before the horse.
We await the results of the FROSTTIE study with interest
Cochrane review here:
https://t.co/novXDLmKWv
Commentary here:
https://t.co/bBQtGFfeio
Feb 23, 2021 · 2 likes · 1,285 followersView post →
JC
José M. Campos
@nanofilus · X
@ndanmontero @SEPEAP No he encontrado buena evidencia a favor de este procedimiento. Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD011065. DOI: 10.1002/14651858.CD011065.pub2
Dec 27, 2019 · 2 likes · 1 share · 355 followersView post →
RH
Renée Hoenderkamp
@DrHoenderkamp · X
This weeks VLOG covers the controversial issue of Tongue Tie division/cutting in newborns. Should we be doing it? Are there other ways to avoid this procedure. I discuss it here with Clare Byam-Cook, breastfeeding expert. https://t.co/0Jamt0eLMu #tonguetie #breastfeeding
May 19, 2019 · 1 like · 164,782 followersView post →
This video discusses tongue-tie in newborns and the safety and effectiveness of frenotomy to improve feeding, highlighting the debate among experts about whether the procedure is always necessary or can often be…
Explore the history and modern perception of tongue-tie in newborns. Dr. Pamela Douglas and Dr. Wendy Burton discuss the anatomy, diagnosis, and safety of frenotomy to improve feeding in infants, based on recent…
Cochrane review:
➡️small, methodologically weak studies suggest a possible effect on nipple pain (I'm not convinced as studies are weak and pain ratings subjective)
➡️insufficient evidence that frenotomy (tongue tie surgery) improves breastfeeding
https://t.co/5Kx8rnqet7
Nov 24, 2024 · 37 likes · 8,000 followersView post →
Jan 4, 2024 · 8 likes · 20,901 followersView post →
MM
Maggie Mustaklem
@maggieselfie · X
From the study they linked to: "the total number of infants studied was small." NYT, you can do better. There is not one report of it positively helping BF and I know quite a few mothers / babies it did help personally. https://t.co/IQkPi0xvoh
@annacos1341 We shouldn't be asked to prove a negative! There should be rigorous justification before performing surgery on healthy newborns.
This is a decent review
https://t.co/5Kx8rnqet7
@kiityc @vk_wilde @RMatthewsPsyEdu But inconclusively they found some improvement in mother’s nipple pain and no clear evidence of improved breastfeeding so… why is the nhs providing misleading information here?
https://t.co/5Kx8rnqet7
Cochrane review -> 5 RCTs https://t.co/u22vZAS1BY "Frenotomy reduced breastfeeding mothers’ nipple pain in the short term. Investigators did not find a consistent positive effect on infant breastfeeding... 1/
@NatashaMDay @dranniehickox @sue_haddon @dean_deanhough @TheStoicSailor @leahtova @FeedingAlliance Evidence for tongue tie surgery is very weak https://t.co/ovxjfRFGXF.
https://t.co/5Kx8rnqet7
Mar 23, 2022 · 1 like · 8,000 followersView post →
TM
Tom Marshall
@TomPMarshall · X
@citzgirl @alexanddelia "snip as soon as discovered, avoiding surgery and speech problems"
I think the debate is about whether the operation works.
- this review found evidence of reduced nipple pain but no consistent effect on breastfeeding
https://t.co/YukTseD3WC
@sue_haddon @RMatthewsPsyEdu @NatMatVoicesorg But the evidence on frenotomy for tongue ties is fairly equivocal so another example of services putting the cart before the horse.
We await the results of the FROSTTIE study with interest
Cochrane review here:
https://t.co/novXDLmKWv
Commentary here:
https://t.co/bBQtGFfeio
Feb 23, 2021 · 2 likes · 1,285 followersView post →
RR
Rosa Romero
@rromeronline · X
RT @nanofilus: @ndanmontero @SEPEAP No he encontrado buena evidencia a favor de este procedimiento. Frenotomy for tongue-tie in newborn inf…
@ndanmontero @SEPEAP No he encontrado buena evidencia a favor de este procedimiento. Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD011065. DOI: 10.1002/14651858.CD011065.pub2
Dec 27, 2019 · 2 likes · 1 share · 355 followersView post →
RH
Renée Hoenderkamp
@DrHoenderkamp · X
So sad that @staceysoloman has gone this route. My VLOG speaks to a lactation expert who says its all nonsense and all about latch. https://t.co/0Jamt0eLMu
https://t.co/po6n3hq50N #tonguetie
RT @DrHoenderkamp: Tongue Tie division/cutting - should we doing this to our babies? https://t.co/0Jamt0eLMu via @YouTube
May 27, 2019 · 1 share · 164,782 followersView post →
RH
Renée Hoenderkamp
@DrHoenderkamp · X
Tongue Tie division/cutting - should we doing this to our babies? https://t.co/0Jamt0eLMu via @YouTube
May 23, 2019 · 1 share · 164,782 followersView post →
RH
Renée Hoenderkamp
@DrHoenderkamp · X
This weeks VLOG covers the controversial issue of Tongue Tie division/cutting in newborns. Should we be doing it? Are there other ways to avoid this procedure. I discuss it here with Clare Byam-Cook, breastfeeding expert. https://t.co/0Jamt0eLMu #tonguetie #breastfeeding
May 19, 2019 · 1 like · 164,782 followersView post →
N
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