Laura writes:

I am  wondering what others recommend to moms whose newborn babies are 
having a  frenotomy.  Some babies do not seem to be bothered much and some seem 
to  have a lot of pain after the procedure and during the stretches and 
sweeps to  prevent reattachment.

Hello all,
 
What a timely question. I just happened to see a 10 day old, a few days  
post-release, today. On the bulletin board in the apartment was the sheet from 
 the ENT. On it were two kinds of stretches, as options. Mom said the 
doctor told  her to sweep under the tongue rather than do the lifts ( one with 
index fingers  under the tongue and pushing or pulling, the other with a 
tongue depressor above  the site and then pulling down the jaw and pushing back 
on the  tongue). I have a feeling that the docs who only release anteriors, 
don't worry  too much about re-attachment. This doc does a lot of posteriors 
which is why she  put this instruction sheet together. I also noticed she 
said if baby seemed to  need it, to give a dose of Motrin ( 1/4 tsp.). This is 
usually helpful with  upper labial releases and some posteriors, but may 
not be as needed with the  anteriors ( which this baby had, I showed mom 
pictures and she immediately  pointed to the Type 1.)
 
None of the other local MDs who do releases ( all anteriors) recommend any  
of this.
 
Peace,
Judy



Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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