Re: why so many docs don't get tongue tie

[Guest guest]

However, if you read the conclusion, they had that if breastfeeding is impacted that the frenotomy could then be recommended.  Still... L Ghislaine Reid, BA (Translation 1981), LLL (1990), IBCLC(2002)Montreal, Quebec, Canada De : [mailto: ] De la part de Healy, IBCLCEnvoyé : 23 avril 2011 12:26À : Objet : Re: Re: why so many docs don't " get " tongue tie You have got to be kidding me.And they cite several studies which do show improvement, and then say it can't be recommended?Head - Desk.Ugh. HealySeattle, WA

[Guest guest]

Tuning in late on this discussion. Tongues are such a difficult issue, since

there's not always this clear yes/no. There was a different discussion a while

back about how routinely one should do a digital oral exam. I tend to take a

pretty careful look and feel with every baby, even if the baby seems to be

breastfeeding pretty well, because it's a real learning experience.

Because sometimes I slide a finger across under the tongue and go " Oh no! " . And

then it turns out that the baby, maybe with a bit of tweaking with a more laid

back, dug-in position, or a bigger mouthful, does just fine. If I was only

checking the mouth if the baby was having a big difficulty, I would

automatically feel that the restriction was the cause.

As an analogy, I heard a story about people with back-pain being x-rayed, which

would reveal these odd compressions of the spinal disc cushioning, which would

then be corrected with surgery. But then the researchers x-rayed the backs of a

lot of people who *didn't* have back pain, which revealed that a lot of people

walk around just fine with those same kinds of compressions.

All that being said, I do feel that I do point out a lot of restricted tongues.

I tend to try to bring up the topic first in an informational sort of way --

this might be why the " fit " between you and your baby may be more difficult.

Let's see what we can do with really filling up that oral space, etc., but if

breastfeeding continues to be difficult, let's explore that further. And

sometimes that's the step that's needed.

Margaret Wills, land