Dear Friends:

Published online May 24, 2010
PEDIATRICS (doi:10.1542/peds.2009-2101)  *
*
------------------------------
 CASE REPORTS Ankyloglossia, Exclusive Breastfeeding, and Failure to
Thrive*Gregory
P. Forlenza, MDa,Nicole M. Paradise Black, MDa,Elayne G. McNamara,
OTR/Lb,Sandra
E. Sullivan, MD, IBCLCa*


 A 6-month-old term boy was hospitalized to evaluate the cause of his
failure to thrive, mandated as part of an investigation by the Department of
Children and Families after an allegation of medical neglect was made. On
admission the patient was below birth weight, and a medical workup for
failure to thrive was pursued; however, he was noted to have severe
ankyloglossia and was an exclusively breastfed infant. The only
interventions during his hospitalization were frenotomy and assistance to the
mother to increase her milk supply. The infant immediately experienced
weight gain and has continued to show slow, but steady, weight gain as an
outpatient. We illustrate here many of the controversies concerning
ankyloglossia.

warmly,

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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