Hi all!
Well, I can't say that I didn't expect this once I heard the Ped's name,
but I did a Bf consult with a woman who had flat nipples and a tight frenulum
baby--what a match! Anyhow, I strongly recommended a frenotomy. The case is
classic. Typical heart-shaped tongue with only slight extension. Tongue
stays tight to bottom, center of mouth when it is pushed from side to side.
Mom was convinced that I was right. Her mother-in-law even said, "I have
heard of that!" at visit. Dad did not want to do it.
He wanted to know how many frenotomy cases I come across, and how often I
recommend the procedure, and does everyone follow my advice, etc.
The Ped started his lecture with, "In my 25 years of pediatric medicine,
I have only come across a few cases, none of which required a frenotomy.
Then he told them horror stories about frenotomies that were performed
incorrectly and included graphic detail of the bleeding and how the children
were ruined for life. Well, after this Dad definitely didn't want to hear of
it, and mom leaned toward Dad's conclusion.
I am convinced that she will probably have bouts of soreness on and off
if the frenotomy is not done. She is 41 years old and this will probably be
the first and last baby. I suggested a second opinion, perhaps with an ENT or
pediatric dentist, more familiar with the need for the procedure. No, they
trust their doctor. Any good information about the safety of frenotomy out
there? Is there info about the dangers of frenotomy out there? My goal is
to share very current scientifically oriented information as compared to the
old fashioned, !@#$ rhetoric they are hearing from their ped? Thanks for the
help in advance! -- Debbie Albert, IBCLC!
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