I am forwarding my edited comments on frenotomy that I sent to Cindy.
There are so many legal/practice issues here that I totally agree with
Jean, put our energies into finding a med prof (dr, ent, dentist) who is
willing to do this on new babies WITHOUT major anesthesia.  I also agree
with the writer that one of the professions (ped, ob, ent, dentist etc.)
needs to "own" this procedure and do it promptly when needed.  Personally I
sort of go for the ob in the US, s/he's the one who circs the boys and
could check their frenula, plus s/he could just check little girls' mouths
too and see who needs a snip in the first 24 hours. Snip, snip, what's the
big deal?  (Don't ask a mom with painfully sore, torn  up nipples!)  That's
really the issue - it is a non issue to HCPs because they don't see the
impact on BF, on the mom, the turmoil and distress these tight frenula
cause!!!!!!!!!!
But maybe PNPs need to investigate this in their own areas.  I know PNPs
stitch, do colps etc.  Maybe it is a training issue.

> X clips,  as a PNP not IBCLC.  CA has some sort of a law that
> PNPs can do whatever they are trained for at that hospital's location and
> that is what she works under - taking care of the legal q.  But I would
be
> WAY out on a limb  to do it in NJ in our ped office where I am PNP, let
> alone at my home IBCLC office :-)
> I think it is the legal climate,  malpractice issues and drs fear of
losing
> control of "surgery".  But X says it is pathetically easy!  Sincerely,
> Pat in SNJ
>

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