Latch reassessment indicated:

  • Deeper Attachment
  • Infant more content at feeding
  • Sustained suction
  • Improved milk transfer
  • Mother pleased and encouraged

Maternal nipple pain was re-evaluated after the procedure using the Hazelbaker score:

  • Pre-frenotomy: 6.9 +/- 2.3
  • Post-frenotomy: 1.2 +/- 1.5
  • P=0.0001


Post procedure example

Summary of Results:

  • The incidence of ankyloglossia in breastfeeding infants is ~ 3.2 %
  • Presenting symptoms are:
    • Ineffective latch - younger babies
    • Maternal nipple pain - older babies
  • Infant latch and maternal pain improve immediately following the procedure

References :

References :
Jeanne L. Ballard, Christine E. Auer and Jane C. Khoury
Ankyloglossia: Assessment, Incidence, and Effect of Frenuloplasty on the
Breastfeeding Dyad J Pediatrics 2002;110;63-DOI: 10.1542/peds.110.5.e63

About Dr. Ballard

Dr. Ballard is an associate professor of Pediatrics, Obstetrics and Gynecology at the University of Cincinnati College of Medicine. More ...