Anquiloglossia e sua relação na sucção nutritiva do seio materno: uma revisão integrativa da literatura

Abstract

Objective: To carry out an integrative literature review on the relationship of ankyloglossia in the nutritional suction of the breast maternal. Methods: This is an integrative literature review study using the following descriptors: lingual phrenule, breastfeeding, ankyloglossia and sucking behavior, with a temporal cut-off from 2010 to 2020, published in scientific journals: VHL, SciELO, PubMed, LilaCs, Medline and Online Library. The inclusion criteria consists of the 2010-2020 time cut, a study that answers the guiding question and that are in Portuguese, English and Spanish. In controversy, the exclusion criteria, study that are outside the timeline, that do not answer the guiding question, studies such as theses, dissertations and books. Results: Forty-eight articles were analyzed and interpreted, 26 were excluded 22 selected to a review. Most studies addressed the guiding question of the research, evidencing the impacts of ankyloglossia on the nutritional suction of the maternal breast. According to the publications, the main impacts on the practice of breastfeeding are highlighted: pain in the nipples, incorrect grip, early weaning, long feedings with many intervals with insufficient milk extraction, little weight gain for the baby, altered tongue movements and suction rhythm and negative effects on craniofacial development and childhood reflux problems. Conclusion: Studies show an association of ankyloglossia and its impacts on the nutritive sucking of the breast, the most commonly mentioned being breast pain, incorrect handle, long feeds with many intervals and insufficient milk extraction with little weight gain.