The American College of Nurse-Midwives has a process in which a Nurse Midwife can incorporate a new procedure into her practice after demonstrating additional education and skill.  The frenotomy is within this scope, as I was informed less than a year ago.  
   
  Nurse Midwives also perform circumcisions and other minor surgeries through this same process.  This would be an individual midwife's decision, but personally the frustration of having to find a practitioner with the willingness and knowledge to perform the procedure has created enough motivation for me to work towards this skill in the near future.
   
  Respectfully, Penny Lane
   
   
  
Pat Young <[log in to unmask]> wrote:
  I'm a PNP/IBCLC and I know clipping tongues is not within my scope of 
practice in NJ, maybe it is different in other states. I think if CNMs 
clipped tongues they would be censured or lose their license. We live in a 
very litigious society, unfortunately, I just don't see that it is 
appropriate to go down this road now. As I said before, I think we need to 
educate the ones who are licensed to do it, MDs, DOs, DDSs. It is all part 
of making breaastfeeding normal. Most young drs think tongue tie isn't a 
problem because most babies are bottle fed and they don't see and problems 
on that rubber nipple! More articles in their journals are needed. More 
studies, more pictures like those Cathy has of the disorganized suck of a 
tongue tied baby, need to be shown. We are supposed to be doing evidence 
based medicine now days. Let's get the evidence out there! Pat in SNJ 

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Penny Lane RN, IBCLC
Maternal & Child Health: Lactation Consulting
Believe - Birth & Breastfeeding Resources
 		
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