Implicações da alteração do frênulo lingual no aleitamento materno exclusivo

Abstract

Successful breastfeeding is related to the newborn performing the functions of sucking, breathing and swallowing correctly, which can be hampered by ankyloglossia. The test of the Linguinha Test is mandatory by Law 13,002 / 2014 and consists of the assessment of the lingual frenulum, in order to identify changes that may prevent or hinder the proper movement of the tongue. Objective: The present study aims to identify the likely implications of the alteration of the lingual frenulum in exclusive breastfeeding. Method: This is a research with a qualitative approach. The participants are mothers of children diagnosed with alteration of the lingual frenulum, who obtained a score of 5 or higher in the Lingual Frenulum Assessment protocol. Data collection took place through semi-structured interviews, carried out via telephone contact in order to maintain social distance. The interview was recorded, transcribed and subjected to thematic analysis. Results: It was observed that the majority of the interviewees reported difficulties in breastfeeding. Most of the babies underwent a reevaluation of the lingual frenulum with a pediatrician, in which no need for frenotomy was identified, even with reports of difficulties in breastfeeding. Conclusion: Thus, in this study there seems to be an impact of the lingual frenulum on breastfeeding. It is important to emphasize that further studies on the impact of ankyloglossia on breastfeeding are necessary, differentiating it from difficulties in initial management, as well as standardization of assessment and treatment. Also, greater training of professionals on the topic, so that they can assist in the difficulties that may occur and greater standardization of guidelines to family members.