In my own personal family all 3 of my kids had tight posterior ties with high arched palates, 2 out of 3 also had tight lip ties.
#1 had no breastfeeding issues, but needed major orthodontic work starting at 10 years of age. Had posterior tie released at 10 years of age and immediately was able to swallow pills, when he was unable to before the procedure. Breastfed 18 months.
#2 also had no breastfeeding issues, but snored from birth, had repeated ear infections and ear tube/grommet surgeries until 6 years of age, has major orthodontic work starting at 8 years of age, posterior tongue tie released at 10 years of age. Snoring stopped when palate was widened during orthodontic work. Ripped lip tie falling off his bike at about 9 years of age, front teeth moved back together. Breastfed over 3 years
#3 had major breastfeeding issues from birth. Lost weight, minimal transfer, not able to generate enough suction to use a supply line on the finger or at the breast. I had to pump to maintain my supply and bottle feed (not paced but forced because she couldn't suck) around the clock for the first 2 weeks of life. Had tongue tie revised at the Newman Clinic at 2 weeks of age, she breastfed in the office immediately after the procedure and was completely breastfed from that moment on. Releasing the tie had an immediate and lasting effect on her ability to breastfeed. She didn't have another bottle after that morning. She ripped her lip tie learning to walk (and falling down) at 11 months and her front teeth moved back together. Breastfed over 3.5 years.
I do see a lot of ties in my private practice. Probably 9/10 of my calls are tongue tie related. The women who call me, aren't the women whose babies have ties like my first two, but are able to breastfeed well. The women who call me have been through their doctors, peer support, public health, and still don't have any answers. They are in pain from damaged nipples, their babies aren't gaining weight. Those tongue ties are affecting their ability to eat. -- Tania Archbold B.Sc., IBCLCMother's Nectar Lactation Consultant ServicesOntario, Canada 519-400-7098www.mothersnectar.cawww.facebook.com/mothersnectarIBCLC
On Monday, July 27, 2015 8:44 AM, Leigh Anne <[log in to unmask]> wrote:
Pamela and all,
I think the problem is not black and white.
There can be what some are calling “faux” ties and various interventions such as positioning and bodywork can help. In reality I see many tongue ties. Where I practice, New York City, we have various providers who release tight frenula - th problem is that many health care providers who release tongues do an incomplete or generally poor job. I send my moms to a small group of professionals.
The parents who see other providers are left without results. I see results in almost everyone of the families I see if they see my recommended providers.
It is very frustrating for sure.
There needs to be consistent training for the entire team - I can dream, right?
Leigh Anne O'Connor, IBCLC
[log in to unmask]
www.leighanneoconnor.com
www.mamamilkandme.com
www.womenwordsandtransitions.com
(917) 596-3646
Date: Sun, 26 Jul 2015 12:35:18 +0100
From: Pamela Morrison <[log in to unmask] <mailto:[log in to unmask]>>
Subject: AAP statement of Tongue Tie is AHRQ
I'm _still_ following this subject with great interest because I
remain conflicted between what I've _seen_ (tongue ties that exist
but which don't cause breastfeeding difficulties) and what I _hear_
from many of my colleagues (how consistently tongue tie severe enough
to interfere with function actually occurs). In the meantime it's
impossible to ignore the many anecdotal reports of so many tongues
and upper lips that have been revised/divided/snipped without any
resolution whatsoever of the original breastfeeding problem, showing
that in fact TT was not the cause and raising the tantalizing
possibility that other interventions would more likely have been more
effective.
It doesn't seem to be true that the IBLCE still requires no education
on this topic. There are good sections on ankyloglossia in the Core
Curriculum for LC Practice, and Breastfeeding Management for the
Clinician, Using the Evidence, to name just a couple of the most up
to date texts. I will be sitting the IBLCE exam again on Tuesday and
I confess to more than a little curiosity about how many questions
will actually be devoted to this topic, to indicate what importance
IBLCE gives to it. Personally, I wish they'd issue a statement on
ankyloglossia. Never has the adage, "If it ain't broke, don't fix
it" had more meaning than on the subject of ankyloglossia. There is
so much division in professional opinion and it's not helpful to make
allegations of ignorance or professional incompetence about IBCLCs
like me who are cautious.
Some of us want much more precise definitions about anterior ties,
posterior ties, upper and lower labial ties and lately I've just seen
a question about buccal ties possibly interfering with
breastfeeding. The credibility of our profession is being placed at
risk when we rely on unpublished anecdote rather than published
serial case histories which can attest to which types and degrees of
ties will actually require frenulotomy and which are better left
because they are not the cause of the presenting difficulty. And
clearly we, as well as AHRQ and some of the insurers, need more
research documenting not only immediate results but also long-term
outcomes, comparing the efficacy of TT division vs conventional IBCLC
interventions designed to improve positioning/latch/milk transfer,
before we'll be persuaded to ignore our own existing clinical experience.
Pamela Morrison IBCLC
Rustington, England
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