Hello Márta for sharing this experience; sorry for answering that late.
Please forgive me;
well amazingly, I had a discussion with a mom that I had helped, (she came
for her new baby); and i could not ask directly about the procedure on her
elder son; but she talked from her own so.... she remembered a local
anesthesia with 2 "cotton swabs" that were dipped in a "blue gelee.

All you shared with me is really truly interesting, with the experience and
knowledge and evidences (why no need for....) and i am grateful for this.
That will help me appease families - even most of them care and are afraid
about this topic; so far thanks to you i have elements to answer and
appease families.

Breast regards,
Françoise Coudray, IBCLC


Le sam. 21 mai 2022 à 10:23, Márta Guóth-Gumberger <[log in to unmask]> a
écrit :

> Dr. Daniela Karall, University Hospital Innsbruck, pediatrician and IBCLC
> procedes like this:
>
> Small babies: breastfeeding immediately before frenotomy for pain
> reduction, mother is with baby during procedure, can support the baby,
> holding baby's hands, the clipping is done without local anesthesia and it
> takes 1 second, immediately afterwards breastfeeding for reducing pain.
>
> The pain is similar to an injection or a bite into the cheek, very short.
> Babies take it well, they cry because somebody holds the head, some stop
> crying when being lifted again, some after a few minutes.
>
> In the first 24h parents have paracetamol at hand, usually don't use it.
> Lots of skin contact and body contact afterwards.
>
> The disadvantage of local anesthesia with small babies: if it is an
> injection, in the same time the clipping is done. If it is a gel, the taste
> is very bad, you can't tell the baby to spit it out, and this can interfere
> with breastfeeding, especially directly afterwards.
>
>
> Babies after 6 months and toddlers: some local anesthesia gel is put on
> the frenulum, procedure in the same way.
>
> Scissors frenotomy is done without general anesthesia in ALL ages. General
> anesthesia is not required for such a small intervention and its risks
> outweigh any benefit. For the procedure itself, the main disadvantage of
> general anesthesia is that the tongue does not have its natural tonus and
> its very difficult to cut appropriately.
>
> See also: Guóth-Gumberger, Karall, Tongue-tie - a Subject that Continues
> to be Challenging, Lactation & Breastfeeding, 2022 - 1
>
> Márta Guóth-Gumberger, Dipl.Ing, IBCLC
> Rosenheim
> Germany
> www.breastfeeding-support.de
>
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