In a message dated 1/13/2004 7:04:40 AM Eastern Standard Time, [log in to unmask] writes:

> Most of the Peds have been very receptive to getting Mom
> help.  Usually they refer out when she leaves the hospital.  But one Ped called
> in a Pediatric ENT.  She was great!  I assisted her with the frenotomy.  She
> likes to give a little injection to help with the pain but personally I think
> that was the painful part!

If newborn frenotomy is done correctly, you definitely are right about an anesthetic injection probably being more painful!


> Then there is always the Ped who tells the Mom that frenotomies are
> unnecessary and some new TREND that seems to be
> happening....just tough it out, your
> nipples will get tougher!


You're probably familiar with this article on ankyloglossia  and treatment by Jeanne Ballard, MD, (at: http://pediatrics.aappublications.org/cgi/content/full/110/5/e63) but I find "questioning" docs can be more receptive when the info comes from someone they've heard of and respect. (Dr. Ballard is also the creator/developer of the Ballard Newborn Gestational Age Assessment tool, which most pedis are familiar with.) When pedi residents rotate through our University Hospital NICU and pedi postpartum, they learn to assess for tongue tie. And her approach to frenulum clipping with these pedi residents is that they "see one, do one, teach one."

Karen G

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