I also have witnessed several frenotomies.  I remember the first time I
approached a M.D. with a suggested frenotomy, definitely not the right
person!!  I have had better luck with dentists.  I have never seen any
anesthesia administered nor was it necessary.  Babes went immediately to
breast and bleeding was very minimal.  I used research  done by Chele Marmet
to convince dentist of the necessity of the procedure.  The paper I have
lists, step by step, how to perform a frenotomy according to Dr. Marmet.
 Anyway,  if Ped doesn't consent to procedure, you may want to pursue a
dentist.
     Speaking of dentists, thanks to all of you that wrote to me about Anna's
teeth.  I am still searching for a toddler breastfeeding-friendly dentist.  I
have decided to take a wait and see approach.  In the meantime, we are
practicing immaculate dental hygiene and limiting all contacts except
breastfeeding.  Your support and expertise really helped me through this, and
 Anna and I  thank-you all.
     Before I moved to the major metropolis of Savannah, GA, I lived in the
small town of Jesup.  I taught an Intro. and  Advanced  BF class that was
part of the prepared childbirth curriculum.  The classes were titled Infant
Feeding but I did not mention bottle feeding except for a section on the
Hazards of ABM.  I found Marsha Walker's paper to be all that needed to be
said.  I also passed a can of ABM around the class, and had the participants
try to read the list of ingredients.  If they were able to pronounce them,
they certainly didn't know what they were.  The audience was very captive and
the majority of moms did initiate BF.  IMHO, when it comes to artificial
feeding, the less said the better.  After all, if you want to find out what
isn't most like mother, you can always turn on the TV.
                                                        Pam Holland, IBCLC

                                                         [log in to unmask]