PROTOCOLO BRISTOL/TABBY: UMA PROPOSTA DE SISTEMATIZAÇÃO DE APLICAÇÃO

Abstract

It is known that breastfeeding can be impaired by considerable factors, whether social, economic, physical or environmental. One of the factors that can interfere with breastfeeding is ankyloglossia, commonly known as “tongue tie”. The Ministry of Health recommends the Bristol/Tabby Protocol for assessing the lingual frenulum. The objective of the study was to develop a proposal for systematizing the application of the Bristol/Tabby protocol in the assessment of the lingual frenulum in full-term newborns in clinical practice in the hospital setting and to perform content validation. It was decided to present the study according to the Scandinavian model, therefore, the thesis consists of two articles. The article refers to a scoping review study, in which the proposal for systematizing the application of the BRISTOL protocol was created, based on a review of the last 10 years of literature. Article two deals with the content validation of the proposal to systematize the application of the BRISTOL/Tabby protocol by expert judges. The literature has shown that there are studies on the protocols and their applicability, but reports a shortage in terms of standardization regarding the implementation of the protocol. The validation of the systematization proposal reached an agreement among the judges with more than 85%