Virginia writes:

One more  point, from other posts on infants refused frenotomy, is that I 
was suprised  that the TT infants mentioned were described as feeding 
(effectively?) from  bottles. I wonder if their mothers tried several? So often I 
notice  ineffective bottle-feeding by babies with restricted tongue function. 
For  instance, spilling milk from the mouth through poor seal, or making 
glugging  noises that showed they were unable to control the fast flow 
(including on the  allegedly "slow" Pigeon "Peristaltic").
~~~
Interesting question, Virginia. This goes back to the truth that  
bottlefeeding is still the 
"norm" against which things are judged.  "Effective bottlefeeding" means 
baby can get enough to eat. If they are gulping,  coughing, crying, refluxing, 
having digestive issues, elimination issues ( any  or all of which I often 
see with tongue tie) these are "normal" baby  behaviors of no consequence if 
the baby is managing to gain. If the baby is not,  it's "just reflux" and 
meds will be given, or it's "just colic" and moms have to  tough it out, or 
it's "just a baby in need of sleep training" so it's mom's  fault if that 
hasn't been done yet ( if baby is over 8 weeks already.) It could  be baby 
"just needs to cry", and "you can't make your baby happy all the time  you know" 
which won as Worst Comment of the Year for me about 2 years  ago by a woman 
who works as an LC ( is not IBCLC) and was  recommended by a local MD 
practice. I did work with one baby who couldn't even  get enough to eat on a 
bottle, he just could not get his tongue to work until  the release. Mostly 
though babies push through and are unhappy. I tell parents  that I believe 
firmly that babies do not need to be miserable, and it is not a  given that they 
all spend hours each day crying. This creates cognitive  dissonance with the 
other HCPs who have told them that many babies cry a lot,  that crying is 
normal, (oh and moms are just too sensitive to it,), every  baby needs a 
pacifier,  and that they will outgrow it in a few months so  just don't worry 
about it, as well as that rapid , uncontrolled bottlefeeding  and gulping is a 
sign of healthy appetite, crying during stooling every 2-3 days  in a 
newborn is healthy enough too. What I see as signs of an issue to be worked  
with/on, others see as "normal". Aye, there's the rub...
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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