There are randomized doouble-blinded controlled studies showing lingual frenotomy helps maternal pain and milk removal.  Why can't you refer a mom straight to an ENT whom you know is willing to do a frenotomy if you identify a problem?

Lip tie is another matter.  I am not aware of studies proving it is useful/necessary to divide them for breastfeeding, and I am not personally convinced.

Kathy Leeper, MD, IBCLC, FABM
Medical Director, Milkworks- a nonprofit breastfeeding center
5930 South 58th St, Suite W Lincoln, NE 68516
(402)423-6402, Fax:(402)423-6422, www.milkworks.org

Creating a healthier community by helping mothers breastfeed their babies...


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