Laura Spitzfaden asks for suggestions on the case of the one month old baby
whose tongue tie and tight labial frenulum were treated two days ago.

I can understand your frustration, Laura - and I don't have anything to add
to the useful things you are doing already.  When the baby has not been able
to strengthen his tongue for the first month using the kind of movements he
will now be capable of, it will take longer than if the problem had been
solved in the first few days.  But given time the odds are overwhelmingly in
favor of a full resolution of her pain.  If you can help the mother to have
a realistic expectation of how long this will take, and help her to watch
for progress over days, not from one feed to the next, you increase those
odds even more.  I would not expect completely painless feeds for the first
week but I would expect to see some progress.  She might observe that
he needs less time on a feed as he gets more effective at suckling before
she notices a dramatic change in sensation.  Biological nurturing positions
will still be very useful in helping him to find the best way to position
himself and attach.

The most frustrating thing with tongue tie is how hard it is to convince the
people in charge of treating it that it is worth the bother.  All the
misinformation they get is appalling, like the mother who was told it was
too late at one month and she'd have to wait 6 mos and baby would need
general anesthetic, pure nonsense.  Good luck to this family, Laura, and if
you can, let us know how it goes.

Rachel Myr
Kristiansand, Norway

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