As an ARNP and IBCLC, I've just begun seeing newborns in a small
local hospital for routine examination. Unlike other providers, I assess
the lingual and labial frenulum: I am not sure how to document my findings
I am a believer in need for revision in TT and plan on performing this
service in my practice soon.
. Today I saw a NB with a tight "piano-wire" lingual frenulum with frenulum
extending midway between base of tongue and tip of tongue-- maybe 6-7mm
from tip of tongue. Not assessing feeding in this role, but RN reports baby
has nursed well twice.
Question: what is the best way to document this finding? As  a lingual
"tongue tie" ? Does the word "tie" indicate restrictive movement, or just
the presence of a prominent frenulum?
Appreciate your feedback,
Melinda Harris-Moulton ARNP IBCLC
Olympia, WA

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