Mary,
I noted your post 'cause as last month I went to a workshop held by Dr
Watson Genna on tongue-tie, I has saw 3 babies and ''all of them'' had a
tongue-tie or one that I 'suppose' to be.
I tell you that one was "I suppose to be" because is a very strange
situation, and I had the same your impression, that is that the baby was
able to extend the tongue over the gum but *not* in the moment I was waiting
for seeing it. in fact I saw the tongue with a "square tip" (sorry, I'm not
able to explain it better) and the egde was "upwards". I wasn't able to
understand well if the frenulum was short as ther baby really hate oral
assesments, or any of my attempt to understand it, but I'm pretty sure she
has some degree of tie. And, she hates FF too, and seems to have some
difficulties with bottle feeding too (loses some milk from mouth). Very
slow with both. Her 5-yrs-old sister had a tongue-tie too (not cut).
I have a couple of pictures of the open mouth (not a very good quality,
instead) if you think it could be interesting
Hope it helps
Martina Carabetta, IBCLC, LLLL
Rome (Italy)
----- Original Message -----
From: "Gary and Mary Taylor" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, April 29, 2007 6:20 AM
Subject: seeing tongue tie everywhere
Hi Wise Ones,
Maybe someone can help me understand this situation:
Out of the last 5 or so newborns that I've seen in home visits, 4 have had
what I *think* is some sort of restricted movement of their tongue.
It has looked a little different in each case, one that would try to stretch
the tongue and the muscles would bulge to one side, one with obvious
frenulum, lots of probs nursing (and mom had speech probs).
I'll focus on the one I saw today as the details are most fresh in my mind;
Mom c/o 'baby just won't open wide to latch'. Nipples are sore and bleeding
a bit on ends. Baby healthy full term natural birth 7 lb 10 oz, 8 days old.
We adjusted assym. latch, position, did RPS to soften areola. But it's just
as she says; Baby does not open very wide, and when I was there baby had a
fair amt of sleepiness on the breast. Not swallowing as often as I'd like to
see, but she's nursing about 12 times per 24 H and 5 good sized BMs per day
. So I'm not too worried about intake *yet*, but will follow her and we will
watch for decreasing supply.
When I observed baby, her tongue could come out fairly well. And she could
open her mouth wide. But not at the same time- in other words, tongue could
not extend when mouth open wide. Also, when she cried, her tongue only
reached about half way up to the roof of her mouth. Underneath her tongue, I
did not see a little band of tissue in the middle holding it down, but did
see thick tissue all across the middle which seemed to me farther forward
than usual.
My questions:
Am I "over-diagnosing" tongue tie type problems, or is it possible that
these Moms are having problems because of various frenulum 'differences'? Do
others really see this so often?
What are some ways you talk to parents about short frenulums? I think I'm
communicating sensitively but I can visibly see the moms, esp, withdraw when
I mention it.....I don't blame them, but wondering if others have tips about
talking to the parents.
Thanks so much,
Mary Taylor, LLLL, IBCLC, who is going to search out some newborns who are
nursing well and look under *their* tongues.
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