I usually share a few stories about other babies who have needed frenotomy.
One of my favorites is of a mother who presented with her extremely tight
frenulum child.  I usually ask if momor dad has a similar condition and she
said, "I used to." "What do you mean 'used to'?" She went on to share that
when she was in high school she and her boyfriend were sharing some
passionate kissing and he ripped it.  That makes me and anyone I share it
with cringe.  Since a simple snip would have prevented and avoided that whole
scenario it usually makes parents consider the ramifications of not doing the
frenotomy.  We also talk about the speech problems, the teasing because the
child can't stick their tongue out or lick an ice cream cone.  All real life
issues that aren't always considered.
I posted not long ago about using the ATLLF tool to show that there are
scientific measurable criteria developed to assess and determine whether this
procedure is warranted or unnecesary.  Is there a solid reason besides the
lame, "we don't do those anymore" with research based evidence to support it?

Gretchen Andrews, BA, IBCLC
private practice, So Calif, USA
doing hospital rounds this summer 7 days/week and having fun!

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