Hi Pam
The Health Technology Assessment Programme announced a call for proposals on research on frenotomy for babies with tongue-tie in February this year, so it's an area where there is a recognised gap in evidence, and where there's likely to be some research going on fairly soon.
All best
Rachel

Rachel Rowe BA(Hons), DPhil
University Research Lecturer
Senior Health Services Researcher & NIHR Post Doctoral Fellow
National Perinatal Epidemiology Unit
Nuffield Department of Population Health
University of Oxford
Old Road Campus
Oxford
OX3 7LF

Tel: 01865 289713
Fax: 01865 289701
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http://www.npeu.ox.ac.uk/




-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Pam
Sent: 14 July 2017 09:36
To: [log in to unmask]
Subject: Tongue tie

Hi,

I wondered if anyone was doing or had done some robust research into the evidence for diagnosis and treatments for tongue ties in the neonate.

I feel there are a number of aspects to this subject:
Surgical versus conservative treatment
Long term significance of treatment
Immediate impact of surgical treatment on the neonate does the neonate suffer pain due to ulcerated mouth? 
Does the aggressive surgical treatment impact on the neonate's feeding habits.

I have observed babies aggressively refuse to breastfeed following surgical treatment whether it be by the midwife's hand or dental specialist with laser. They have also refused to have a teat in their mouths.

Warm regards
Pam Harnden

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