Hi Debbie,

I'm sure someone with more experience (like Cathy Genna herself!) will  
respond soon. But I just wanted to say, I've known several babies  
(including one of my own) who had sub-mucosal tongue-ties. (cf. p. 230  
in the book) It looks like there is no frenulum at all, but really it  
is hiding under the mucosa. One of these babies could even stick his  
tongue out (briefly), but if you looked from above, there was a large  
"dimple" in the middle of his tongue where the frenulum was holding it  
down. My own baby's tongue  also looked "normal" at first glance, in  
that there was no visible frenulum, but she caused me unbelievable  
pain and shredded my nipples within 12 hours of her easy, unmedicated  
homebirth.

Based on the mother's experience and your evaluation of the baby's  
suck, it would probably be worthwhile to pursue this line of inquiry.

Jennifer (Long Island, NY)


On Aug 5, 2009, at 3:44 PM, D Dowe wrote:

> When examining the baby, there is no lingual frenulum.  But, the  
> posterior
> aspect of the tongue has a groove similar (but not exactly) to the  
> photo on
> page 231 (figure 9-7) in Supporting Sucking Skills in Breastfeeding  
> Infants by
> Catherine Watson Genna.  Suck assessment reveals some biting/ 
> clamping and
> occasionally an uncoordinated tongue wave.  I also think I see some  
> mild
> asymmetry in the face and the tongue when the baby opens his mouth  
> to cry
> or yawn.
>
> Could this be a posterior tongue tie?  Could that be causing the  
> pain?  Should
> I pursue the Raynaud's issue?  Anything I am missing?
>
> Thanks for your help.
> Debbie

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