Alison Jacobson asks:
1. What are the skeptical physicians' reasons for doubting that tongue ties
can affect nursing success?

I think this is most common in older docs.  As I understand it, ties were at one time always clipped "to prevent speech problems".  Coincidentally, at about the same time that it was decided it wasn't always necessary for speech, breastfeeding was at its lowest initiation rate.  Not clipping then became the norm and with breastfeeding rates being low, the connection between tt and bf wasn't noted bexcept by a very few.  Later as we know, breastfeeding rates increased, and in time the potential problems tt caused in breastfeeding was realized initially by the strongest bf supporters and as time went on by nearly all bf supporters.  When many docs were asked about clipping the frenulum, the typiical response was, "We don't do that anymore." or "That really isn't necessary."  Right along with "We've always done it this way" which is one of the hardest "reasons" to fight.

Winnie Mading


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