Hi Allison,

The few sentences I've pasted below from your original e-mail make me
wondering the following. It could look like a decreased milk supply due to
the tongue-tie combined with the shield use, although this child is already
8 months old. One should expect to see a dwindling milksupply sooner.

It is often seen that milk supply is ok in the beginning, but when the baby
grows it diminishes.

In this matter I'd like to refer you to Dr. evelyn Jain's homepage. You can
find it at: Http://www.cal.shaw.wave.ca/~ejain/
she also has a video available that shows complete management including
frenotomy.
I have no financial interest in this video, but in my opinion it is great
in showing healthworkers the need of doing (or not doing) a frenotomy when
breastfeeding is involved.

Hope this helps a bit and good luck with this mother/baby pair.

Renate RIetveld, IBCLC
Rijswijk, THe Netherlands



At 13:59 3-4-00 -0700, you wrote:
>I have a mom that I need assistance with.
>1.  During the past 3 weeks her milk supply has
>drastically decreased.
>2.  During the conversation she explained that child
>is using shield due to a
>short frenulum.

--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail  : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
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