Virginia, thank you for your comments.  What I am hearing from this group is
that there really isn't any evidence that the frenulum stretches.  I don't
know if Brian Palmer or Alison Hazlebaker are on LACTNET but I would love to hear
their comments.
Why I am pursuing this is because almost all the clinicians I work with tell
parents not to act on a short tight frenulum because it "will stretch" and I
would like to have some evidence on this comment.  If for no other reason to
give them pause before making this comment especially if the dyad are having
feeding difficulties.
My suspicions are that as clipping a frenulum fell out of grace and bottle
feeding was rising, some clinicians orally told parents that the frenulum would
stretch.  Students over hear their instructors saying this so it gets repeated
and then eventually gets written down in a text and now it is fact with no
evidence backing it.  Similiar to the reasoning behind episiotomies.  Just my
theory.
Thanks for any hard data or insight.
Ann Perry, RN, IBCLC
Boston, MA

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