結(jié)舌患兒急需幫助

Services for babies with breastfeeding problems because of tongue tie need to be improved， a parenting charity says.

The condition， which restricts the movement of the tongue， can be treated with a simple procedure.

The NCT said services around the UK were too patchy， and more awareness was needed.

However， midwives' leaders said the procedure should only be done if feeding problems were definitely being caused as a result.

Tongue tie happens when the fold of the skin that connects the tongue to the bottom of the mouth is shorter than usual.

The congenital condition， which affects around 3% of babies， can lead to problems for them \"latching on\" to their mother.

\"POOR PROVISION\"

Some families end up paying more than ￡100 for private treatment or abandoning breastfeeding.

NCT chief executive Belinda Phipps said: \"Mothers who contact our helpline about this are desperate and usually in tears.

\"Everyone who comes into contact with a new mum needs to be aware of tongue tie as a possibility if there are feeding problems.

\"And we would like to see a service for tongue-tie treatment available at every maternity unit in the country.\"

The NCT is taking up with government ministers what it calls the problem of poor provision.

The minister for maternity and child health， Dan Poulter， said: \"We always recommend that mothers breastfeed their children where possible as it has huge health benefits.

\"We know tongue tie can make feeding difficult， and health professionals should discuss options with parents and agree the most appropriate form of treatment.\"

NO SAFETY CONCERNS

Tongue tie varies in severity. If a procedure is needed， the fold of the skin is cut in what is known as division.

The healthcare watchdog NICE endorsed the procedure in 2005， saying there were no major safety concerns. It is often done by surgeons but other healthcare professionals can perform it.

Figures from the Health and Social Care Information Centre show that more than 5，000 babies in England had tongue-tie division in hospital last year. Others may have had the procedure in community settings.

Mervyn Griffiths， a consultant paediatric surgeon at Southampton Children's Hospital， has led training and research on tongue-tie division.

He said: \"Small babies feel pain differently from older ones. The smell of mum and milk is more important than painkillers for them.

\"We know from our studies that the average time between dividing the tongue tie and a baby feeding silently is about 15 to 20 seconds. Complications are very， very rare.\"

婦產(chǎn)慈善機(jī)構(gòu)指出，結(jié)舌患兒吮乳困難急需接受專門服務(wù)。結(jié)舌指由于舌系帶短縮，舌尖受其牽絆，以致舌頭轉(zhuǎn)動(dòng)伸縮不靈，妨礙吮乳。英國(guó)國(guó)家分娩聯(lián)合會(huì)指出，目前英國(guó)3%嬰兒患有結(jié)舌，而英國(guó)的相關(guān)服務(wù)過于零散，公眾意識(shí)不足，大多家庭需花費(fèi)100英鎊接受私人服務(wù)甚至放棄母乳喂養(yǎng)。聯(lián)合會(huì)旨在增強(qiáng)公眾對(duì)結(jié)舌的意識(shí)并最終在全國(guó)所有婦產(chǎn)科提供針對(duì)結(jié)舌的服務(wù)。英國(guó)婦女及兒童健康部長(zhǎng)丹·普爾特指出，國(guó)家大力提倡母乳喂養(yǎng)，關(guān)于結(jié)舌對(duì)母乳喂養(yǎng)的危害，醫(yī)學(xué)專家應(yīng)與家長(zhǎng)共同討論并找到恰當(dāng)?shù)闹委煼桨浮?005年，英國(guó)國(guó)家臨床醫(yī)學(xué)研究所批準(zhǔn)切割舌系帶的手術(shù)，外科醫(yī)生及其他醫(yī)學(xué)人員皆可操刀。與手術(shù)之痛相比，能夠接受母乳喂養(yǎng)對(duì)于嬰兒來(lái)說更加重要，而且手術(shù)并發(fā)癥的可能極低。

[http://www.bbc.co.uk/news/health-26199591]