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Mon, 17 Nov 2014 19:57:01 +0000 |
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..... as possible red herrings!
See
<http://www.nancymohrbacher.com/blog/2014/11/16/tongue-and-lip-ties-root-causes-or-red-herrings.html?printerFriendly=true>http://www.nancymohrbacher.com/blog/2014/11/16/tongue-and-lip-ties-root-causes-or-red-herrings.html?printerFriendly=true
Yesss!!!! Thank heavens someone with enough of a reputation for
excellence has finally spoken out about the possibility of
over-diagnosis of tongue tie and lip tie as a cause of breastfeeding
difficulties.
I've become increasingly concerned about this over the last few
years. Yesterday I spent 3.5 hours with two families whose babies
had lost too much weight after birth, both mother suffering pain
during nursing, milk supplies had quickly crashed. The first TT for
each baby was revised/divided/snipped within days without any
resolution of the problems and in fact the problems only
escalated. In each case a second procedure was done just a few days
ago. IMHO these babies had not had "symptomatic" TTs and focussing
on the TT to the exclusion of other causes of the problems had wasted
precious time. I've heard of babies having 3 or 4 snips yet still
the problems go on. How many cuts are needed before someone admits
that the problem wasn't due to tongue tie??
In my personal experience (agreed, only one IBCLC) with just over
3000 mother baby client pairs, I have not identified even one TT that
needed anything doing to it - I love latching difficulties and
showing mothers how to resolve them, and I always flag up the need
for close follow-up to monitor future pain or low gain in every baby
with a TT that I see, warning the parents at the same
time. Admittedly I never saw one that was tethered at the tip. But
even so..... not a single mild/moderate tie that I saw ever caused a
moment's difficulty.
Finally someone whose opinion we all respect has spoken up, and
citing with some actual research. This scenario was beginning to
seem to me like the situation we experienced a few years ago with
seeing nipple Thrush behind every case of sore nipples, thus missing
so many other causes!
Bravo, Nancy Mohrbacher!
Pamela Morrison IBCLC, long-time TT dissident!
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