Baby possibly with posterior tongue tie

[Guest guest]

Hi,

Day before yesterday I saw a mom and baby, baby was born Christmas Eve, their

first child. Mom had a very quick, intense labor and delivery with no

medications. Mom had difficulty latching baby from the very beginning. The mom

initially got breastfeeding help from the health plan LCs, inpatient and

outpatient. They referred mom and baby for a frenectomy. The pediatrician did

frenectomy two weeks ago. Since the frenectomy the mom has been going to

chiropractor that has training in cranial sacral therapy too. She has had three

appointments the mom feels it has make little difference for breastfeeding. I

spoke with chiropractor and she feels that the baby has made significant

improvements and that baby needs more treatments to see more improvement.

The baby has

high palate,

the frenulum is thick and fibrous and very tightly attached

gags quickly sucking on finger,

when baby cries you can see the middle of tongue drawn down,

when you do small circular massage on the tongue it feels very tight,

the baby has to purse the lips to maintain latch

Feeding takes about an hour each

the labial frenulum is also tight

I taught the mom the exercises that were in the first edition of Supporting

Sucking skills

My question is where to refer the mom to now. The doctors I know of that do

frenectomy will only do it one time, for type 1 and 2 tongue tie. I am on the

coast of central California. Anyone aware of a doctor near us to refer mom to

for evaluation of posterior tongue tie or other suggestions to give her?

Marine--

Marine, BA, IBCLC, RLC

Marine Lactation Services

Office

Cell

mmarineIBCLC@...