Laurie asks;

For the hospital LCs and the primary care providers:
When the LC identifies a concern re ankyloglossia, how does the LC handle
it?
Is something said or shown to the mother and some options discussed, and
also communicated to the doctor (primary hcp)? This is how I've always done
it. I generally ask some history questions, and often it turns out there is
another family member or other siblings with tongue/speech issues.

I do exactly as you describe. I explain to the family that the baby appears
tongue tied and explain possible implications for breastfeeding. If it is one
of the clinic babies in our hospital, the pediatrician will call ENT and they
clip before discharge on our recommendation. For private peds patients we speak
to the pediatrician. I'm sure some get upset at times but we call them any
way or ask the family to ask for a frenotomy. For the most part, getting a
frenotomy done is not too difficult, but the occasional pediatrician will refuse
and I'm sure is not happy that we've pointed out the tongue tie to the parents.
Having Anna Messner on staff in our hospital doesn't hurt. Still we have docs
who tell the parents that a tongue tie will not interfere with breastfeeding.

Kathy Boggs, RN, IBCLC

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