Guest guest Posted December 30, 2010 Report Share Posted December 30, 2010 , The second one he just sent me vial email but on his site, kiddsteeth.com under articles, the second article entitled Why can't my baby breastfeed.... the same info with pictures is given. Looks like he gave me something of an original, not final copy. And , Kotlow doesn't recommend the sweep anymore, see the first download for what he now teaches parents and he mostly has them use the tongue blade method which involves lifting and backward pressure. He even numbers the tongue blades he gives parents so they do it once per day for six days. Barbara Barb, do you have the second one in a form that is easier to read? Thank you so much for posting these!------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2010 Report Share Posted December 30, 2010 I have noticed in my practice a distinction between two types of people who have posterior TT releases. The moms who feel pain, and the babies who are not transferring milk but the mom is relatively fine.I have found with the pain group, releasing usually is successful with the posteriors. But, I think the success is much less with the group of poor BF and transfer. I have not gone through my files, but I am feeling like maybe it is even only about 50%. What are some of your experiences with this? Curious- Billowitz, IBCLCIsrael From: [mailto: ] On Behalf Of latternerb@...Sent: Thursday, December 30, 2010 8:07 PMTo: Subject: tongue ties I have a patient handout by Larry Kotlow, DDS that he shared with the summit committee I'm on, so I just emailed him to ask his permission to share with this group. I did not find it on his website and it is excellent. He offers parents the option of tongue lift and pressure on either side of the frenotomy site with index fingers on each side, pushing back and up or use of a tongue blade. There can be bleeding but the whole idea is to heal from within and not have scar tissue form. The moms I work with post frenotomy do not tend to follow thru on exercises of stretching or even tongue strengthening, or at least don't do it regularly and consistently, often because they say baby doesn't like it. Most of my cases are tongue tie, posterior, and only a few have had to have another clipping. I think the regrowth of restrictive tissue is a problem though. Barbara Latterner__________ Information from ESET NOD32 Antivirus, version of virus signature database 5556 (20101022) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2010 Report Share Posted December 30, 2010 This does sound different from what he recommended to two of my clients a few years ago! Great! Most of my clients have been more faithful (hate the word compliant) to doing the stretching -- I've made a big deal about how important it is to the outcome and to preventing having to have it done over again. Unfortunately, the ENT we use isn't convinced it is necessary and either doesn't mention it or dismisses it when it is brought up by the parents. At 01:06 PM 12/30/2010, latternerb@... wrote: I have a patient handout by Larry Kotlow, DDS that he shared with the summit committee I'm on, so I just emailed him to ask his permission to share with this group. I did not find it on his website and it is excellent. He offers parents the option of tongue lift and pressure on either side of the frenotomy site with index fingers on each side, pushing back and up or use of a tongue blade. There can be bleeding but the whole idea is to heal from within and not have scar tissue form. The moms I work with post frenotomy do not tend to follow thru on exercises of stretching or even tongue strengthening, or at least don't do it regularly and consistently, often because they say baby doesn't like it. Most of my cases are tongue tie, posterior, and only a few have had to have another clipping. I think the regrowth of restrictive tissue is a problem though. Barbara Latterner Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2010 Report Share Posted December 30, 2010 GREAT question, . I have seen the two groups myself, and indeed have a client at this very moment in the second. My impression is that the second group does not get to experience the dramatic moment of painless nursing, which makes such a great impression and is so encouraging. But in the first group, although they may not have pain, most have still had mostly difficult and prolonged feedings, so when the baby is able to remove milk more efficiently, they are happy with the improved breastfeeding experience. Again, though, this is something that really needs to be studied! > > >I have noticed in my practice a distinction between two types of >people who have posterior TT releases. The moms who feel pain, and >the babies who are not transferring milk but the mom is relatively fine. > >I have found with the pain group, releasing usually is successful >with the posteriors. But, I think the success is much less with the >group of poor BF and transfer. I have not gone through my files, >but I am feeling like maybe it is even only about 50%. What are >some of your experiences with this? > >Curious- > > Billowitz, IBCLC > >Israel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2010 Report Share Posted December 30, 2010 Barb, do you have the second one in a form that is easier to read? Thank you so much for posting these! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2010 Report Share Posted December 31, 2010 I agree with --I do not think structural improvement is necessarily better for the kids whose moms are in pain, but it is a lot more motivating to keep going when you see such a shift, especially as it relates to pain. I think it's important to educate moms before revision that this can happen. As also mentioned in her practice--I do a lot of hand-holding to keep them focused on the successes. I also tended to go with moms to the ped when Cliff O'Callahan clipped most of my babies, but once I saw and experienced the laser, I referred most of the babies I saw before I came to France to Larry Kotlow or Siegel. Tow, IBCLC, Toulouse, FR > > GREAT question, . I have seen the two groups myself, and > indeed have a client at this very moment in the second. My > impression is that the second group does not get to experience the > dramatic moment of painless nursing, which makes such a great > impression and is so encouraging. But in the first group, although > they may not have pain, most have still had mostly difficult and > prolonged feedings, so when the baby is able to remove milk more > efficiently, they are happy with the improved breastfeeding experience. > > Again, though, this is something that really needs to be studied! > > > > > > > > > >I have noticed in my practice a distinction between two types of > >people who have posterior TT releases. The moms who feel pain, and > >the babies who are not transferring milk but the mom is relatively fine. > > > >I have found with the pain group, releasing usually is successful > >with the posteriors. But, I think the success is much less with the > >group of poor BF and transfer. I have not gone through my files, > >but I am feeling like maybe it is even only about 50%. What are > >some of your experiences with this? > > > >Curious- > > > > Billowitz, IBCLC > > > >Israel > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2010 Report Share Posted December 31, 2010 Barbara, a few months ago I talked to Dr. about what Kotlow was recommending and he said that he really feels strongly that the stretching is necessary and that it should be done before every feeding, including at night. Gee, I wish this could be studied so we'd know what is needed! At 05:06 PM 12/30/2010, latternerb@... wrote: , The second one he just sent me vial email but on his site, kiddsteeth.com under articles, the second article entitled Why can't my baby breastfeed.... the same info with pictures is given. Looks like he gave me something of an original, not final copy. And , Kotlow doesn't recommend the sweep anymore, see the first download for what he now teaches parents and he mostly has them use the tongue blade method which involves lifting and backward pressure. He even numbers the tongue blades he gives parents so they do it once per day for six days. Barbara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2010 Report Share Posted December 31, 2010 I agree with Jim, I have parents do the stretching and suck exercises plus homeopathy. Those PTT just scar down too much. The ATT's are much easier to resolve. I rarely see the ATT. All I get are the PTTs and they take time to turn around. Shari Barbara, a few months ago I talked to Dr. about what Kotlow was recommending and he said that he really feels strongly that the stretching is necessary and that it should be done before every feeding, including at night. Gee, I wish this could be studied so we'd know what is needed! At 05:06 PM 12/30/2010, latternerb@... wrote: , The second one he just sent me vial email but on his site, kiddsteeth.com under articles, the second article entitled Why can't my baby breastfeed.... the same info with pictures is given. Looks like he gave me something of an original, not final copy. And , Kotlow doesn't recommend the sweep anymore, see the first download for what he now teaches parents and he mostly has them use the tongue blade method which involves lifting and backward pressure. He even numbers the tongue blades he gives parents so they do it once per day for six days. Barbara -- ~~~~~~~~~~ Shari Silady ~~~~~~~~~~~~~ " Mothers have as powerful an influence over the welfare of future generations as all other earthly causes combined. " ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2010 Report Share Posted December 31, 2010 Oh yes and lots of CST. Barbara, a few months ago I talked to Dr. about what Kotlow was recommending and he said that he really feels strongly that the stretching is necessary and that it should be done before every feeding, including at night. Gee, I wish this could be studied so we'd know what is needed! At 05:06 PM 12/30/2010, latternerb@... wrote: , The second one he just sent me vial email but on his site, kiddsteeth.com under articles, the second article entitled Why can't my baby breastfeed.... the same info with pictures is given. Looks like he gave me something of an original, not final copy. And , Kotlow doesn't recommend the sweep anymore, see the first download for what he now teaches parents and he mostly has them use the tongue blade method which involves lifting and backward pressure. He even numbers the tongue blades he gives parents so they do it once per day for six days. Barbara -- ~~~~~~~~~~ Shari Silady ~~~~~~~~~~~~~ " Mothers have as powerful an influence over the welfare of future generations as all other earthly causes combined. " ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2010 Report Share Posted December 31, 2010 That just doesn't seem reasonable or do-able in real life! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: tongue tiesTo: Date: Thursday, December 30, 2010, 7:24 PM Barbara, a few months ago I talked to Dr. about what Kotlow was recommending and he said that he really feels strongly that the stretching is necessary and that it should be done before every feeding, including at night. Gee, I wish this could be studied so we'd know what is needed! At 05:06 PM 12/30/2010, latternerb@... wrote: , The second one he just sent me vial email but on his site, kiddsteeth.com under articles, the second article entitled Why can't my baby breastfeed.... the same info with pictures is given. Looks like he gave me something of an original, not final copy. And , Kotlow doesn't recommend the sweep anymore, see the first download for what he now teaches parents and he mostly has them use the tongue blade method which involves lifting and backward pressure. He even numbers the tongue blades he gives parents so they do it once per day for six days. Barbara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2010 Report Share Posted December 31, 2010 The parents who do the stretching, exercises and Cst have the suck and brfding turn around in half the time before mom gives up. If they do not do it most of the time it takes weeks some times a month to resolve some moms hang in there and others give up and pump bottle. I tell moms doing CST post clipping is like having a trainer in the gym rather than trying to buff up on your own. It makes the turn around so much faster actually half the time and you have help along the way.Most of my families do the post clipping protocol. I can tell who does all of the lifting and exercises and who do it half heartedly and those that don't do it without them telling me. It really makes a difference in how long it takes to turn around the pain free brfding. shari That just doesn't seem reasonable or do-able in real life! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/ , The second one he just sent me vial email but on his site, kiddsteeth.com under articles, the second article entitled Why can't my baby breastfeed.... the same info with pictures is given. Looks like he gave me something of an original, not final copy. And , Kotlow doesn't recommend the sweep anymore, see the first download for what he now teaches parents and he mostly has them use the tongue blade method which involves lifting and backward pressure. He even numbers the tongue blades he gives parents so they do it once per day for six days. Barbara -- ~~~~~~~~~~ Shari Silady ~~~~~~~~~~~~~ " Mothers have as powerful an influence over the welfare of future generations as all other earthly causes combined. " ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2010 Report Share Posted December 31, 2010 But it really is. The stretching isn't a big deal and can be done very quickly. Baby wants to nurse? Quick stretch and pop him on. No big deal. It's only for a week or so. That just doesn't seem reasonable or do-able in real life! Barbara, a few months ago I talked to Dr. about what Kotlow was recommending and he said that he really feels strongly that the stretching is necessary and that it should be done before every feeding, including at night. Gee, I wish this could be studied so we'd know what is needed! Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.