..... 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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