I would disagree that there's nothing more that can be done for the mom
of a tongue tied baby who declines to have the frenulum evaluated by
someone who knows what they are doing.  I would:

Continue practicing scientifically perfect asymmetrical latch with the
mom and baby.
Consider using wedging techniques for the breast ("nipple sandwich") to
help baby get a deeper latch.
Consider using sublingual pressure during feeding (mom gently places a
finger under the baby's chin, behind the bony prominence (at the soft
spot where the tongue inserts into the floor of the mouth).  For some
tongue tied infants, this helps them get a little more tongue elevation,
which seems to be more important for breastfeeding than the ability to
extend or protrude the tongue.
Help mom maintain her milk supply by pumping after feeds and/or using
breast compression while baby is nursing.
Consider fingerfeeding baby to help get the best possible tongue
function that the frenulum will allow.
Help the baby handle flow (let him come off if he needs to, caution mom
not to hold his head, have mom recline) if he's having trouble
coordinating swallowing and breathing.
Give parents information about managing a baby with reflux (very common
among tongue tied babies, in my humble observations, though no one's
"proved it" yet).

Frenotomy is the easy way, if the parents decline to have a frenotomy
performed, or even an assessment to determine the need for one, then
there are things we should try to do to help their baby anyway.
Catherine Watson Genna, BS, IBCLC   NYC

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html