United Kingdom tongue tie services: a postcode lottery


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Abstract

ORIGINALThis paper reviews the evidence surrounding tongue tie division (frenotomy) and reports on the findings of a national survey to map the provision of UK NHS tongue tie services. The study reports data from 86 of 167 NHS acute Trusts/boards across the UK, plus 20 community Trusts, looking at the availability of tongue tie services, referral numbers and criteria, and the nature of the service provided. The findings emphasise the variability of service provision across NHS Trusts, and the limitations within the evidence base relating to assessment tools and intervention. There is a need for equitable access to skilled assessment and services to prevent both under- and over-diagnosis, and a need for all women to receive appropriate and timely breastfeeding support.

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