In light of the conversation going on about providers not supporting moms around posterior tongue tie: 
I just received an overwhelming testimonial from a very young mom I helped a few months back. If you want to quote her explanation of her travails in trying to get her baby treated, and the results of finally being heard, believed, and treated, she would love to know she is helping other mamas!  

Here's the bare bones:

My daughter and I had an incredibly rough start to our nursing relationship. She was born tongue and lip tied and couldn't nurse at birth.
Her frenulum was attached clear to the tip of her tongue. Our midwives clipped it very conservatively after birth, but she was still unable to latch. For the first week and a half, I pumped and fed her by syringe every 2 hours. 
We were referred by her pediatrician to an ENT specialist at Mary Bridge Children's Hospital in Tacoma. It was clipped again and on the follow up appointment, I was told she would be totally fine to nurse normally. 
She could now latch onto the shield, but continued to have difficulty, popping on and off frequently, with milk leaking out the sides of her mouth. 
After 6 weeks she began to cry a lot. I knew something was wrong. I felt my milk production was decreasing and she wasn't getting enough to eat. I was really worried. 
Two pediatricians and three lactation consultants told me she was fine, she was gaining and looked healthy and clearly getting enough to eat. The crying was unrelated. My intuition told me otherwise, and I pressed on for answers. 
Finally, (a Leader) La Leche League (LLL) of Tacoma referred us to Betsy. My daughter had just nursed when she arrived and hardly nursed the whole time. By look and feel, Betsy assessed that my daughter was, indeed still tongue tied. 
Betsy referred us to Dr. MaryAnn Ohara of Seattle Breastfeeding Medicine right away. My daughter was clipped once more at 2 1/2 months and the day after her third clipped, immediately nursed without the shield with no problem. 
I can't tell you how much this has changed everything for us. I'm confident my daughter is getting enough to eat, my milk production is back to normal, and the days of continually carrying and cleaning a nipple shield are no more. 

Without the help of Betsy and Dr. O'Hara, we may not still be breastfeeding now (at 6 months). If you're having issues breastfeeding - don't give up!! An easy nursing relationship is totally possible, and wonderful, with the right support." 

Didn't that just about make my day?  

Energized now to go out and help more mamas --
Betsy Hoffmeister, MPA, IBCLC
West Seattle, Washington, USA
www.betsysbabyservices.com

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