Pamela and Jessica,
I see that more and more mothers are seeking help for their BFing issues.
Are they self diagnosing and only relying on peer help too much? Yes.
Are they getting frenotomoies frequently? Yes. Are they getting after care
and the love of a good IBCLC? NO.
Are they frustrated and disappointed when the TT/ULT does not improve
things right away? Yes.
But, in my opinion, with the proper care. A frenotomoy is one of the steps
to a great BFing relationship.
Gone are the days where women will endure painful feedings, low milk
supplies, unhappy, FTT babies because 3 or 4 professionals said, 'the
restriction of your baby's tongue will NOT make a difference.
WE KNOW, 100%, that a restricted tongue does change the outcome of the
efficiency and duration of Breastfeeding.
What we are seeing are women who are no longer willing to take 'no' for an
answer, women who WANT to breastfeed without pain and women who are,
perhaps in the wrong order, seeking help.
I wish all babies were examined by a knowledgeable IBCLC BEFORE getting a
frenotomoy. Here in the states, the visit to the doctor is covered. The
IBCLC isn't. It's about finances too.

Reading your post makes me cringe because I wonder, how cracked do the
nipples need to be? How much blood? How many tears from the mom? How much
fussing/reflux/gerd/weight gain/weight loss from the baby before you will
call a spade a spade and recommend a Frenotomy? In 10 days, at 10 feeds a
day a mom and baby have experienced ONE HUNDRED feelings of failure with no
breaks and no relief in sight.  When is enough enough? How much can we ask
both mommy and baby to endure?

My success rate with seeing clients before, during and after is VERY high.
I am not a fan of stretches. I am a fan of suck training and bringing
babies and mommies to 'normal' ASAP.

I do not make TT my first DX or my only DX. I try all the tricks too. I
spend 2-3 hours on the initial visit. But I am one of those. I recommend
releases. I'm sure glad I know what I'm doing and that I do it well.

There IS a happy medium and we need to find it.

Annie VerSteeg IBCLC since 1996,



> Date:    Mon, 27 Apr 2015 21:15:45 -0400
> From:    Jan Barger <[log in to unmask]>
> Subject: Tie correction overload.
>
> Pamela and Jessica, I've just printed out your two posts for  me to read
> over again when I begin to feel that once again, I'm just not in the  loop
> regarding tongue ties. I agree they are being over-diagnosed and
> overtreated
> -- and as a first line of treatment in many cases -- as Jessica  pointed
> out,
> many moms looking at that first before even getting a good  evaluation of
> the tongue/tie/latch/feed.....
>
> But I seem to be in the minority to urge caution.
>
> Jan Barger
>
>
>
>
>
>
>
>
> ****************************
>

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