There's a decision rule in this article: Anjana Srinivasan, Carole Dobrich, Howard Mitnick, Perle Feldman. Breastfeeding Medicine. Winter 2006, 1(4): 216-224. doi:10.1089/bfm.2006.1.216. The only change I'd make is for the requirement of a visible frenulum. Frenula can be submucosal and invisible unless the tongue is elevated... Catherine Watson Genna BS, IBCLC NYC cwgenna.com On 3/8/2011 5:43 PM, Naznin Hebert wrote: > Hello all, > I am working in a breastfeeding clinic in a teaching Family Medicine Center > where there are several Physicians, who are available, if I need them, for > medical reasons. One of the main reasons I would need them for would be a > tongue-tie. > The problem I have is each one of them has their own personal reason of > performing a frenotomy or not. For some if the bb is gaining weight than it > is not necessary to do one. For others if we correct the latch than there > should be no nipple pain. For some if bb is under 2 weeks old they are > reluctant to do it, etc. In my opinion we are not preventing problems. We > are just waiting for complications to happen and then treating them and by > then sometimes it could be too late. Since it is a teaching Centre, I am > also afraid that the residents may not learn the true reasons and benefits > of a frenotomy. So I plan to use a freotomy algorithm, so that everybody > follows the same rules. Does anybody else use one or knows where I could > find one? I would greatly appreciate that. > Thank you in advance, > Naznin Hebert RN, IBCLC, RLC > Montreal, QC > Canada > > > *********************************************** > > Archives: http://community.lsoft.com/archives/LACTNET.html > To reach list owners: [log in to unmask] > Mail all list management commands to: [log in to unmask] > COMMANDS: > 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail > 2. To start it again: set lactnet mail > 3. To unsubscribe: unsubscribe lactnet > 4. To get a comprehensive list of rules and directions: get lactnet welcome *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome