I just had another family report instant improvement in nipple comfort post frenotomy.  This baby had a severe tongue tie born just before Memorial Day weekend so a longer than usual delay in getting the procedure done, moms nipples were very beat up. Today babe is gaining well and mom is perfectly comfortable and without damage.

I have seen several posts recently suggesting that all babies with tongue tie require follow-up for suck problems and was very surprised as that has not been my experience at all.  I would guess that over the past 10 years I have seen about 80% of frenotomies immediately solve the suck problem as evidenced by the mothers comfort level and subsequently the babes adequate weight gain.  The other 20% do require more long-term help to achieve a comfortable feeding, a tiny percentage never get there.  

Are the successes we see possibly because we get them done so quickly here?  I am eager to hear what others have seen.

Janie Akerlund RN IBCLC
PeaceHealth Nurse-Midwifery Birth Center
Eugene, Oregon

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