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Subject:
From:
Becky Krumwiede <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 12 Sep 2006 10:50:11 -0500
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I haven't seen any responses to your question, so I'll ask.  I'm 
confused about why a 25 day old is having a frenectomy under 
anesthesia--was the tongue-tie so severe that the baby really needed 
suturing after the division?  I do understand the difference between a 
frenotomy and frenectomy--are you in a large medical center?  I've 
worked as an LC for 15 years in a small hospital, about 1200 
births/year.  I'm lucky in that almost all our docs now recognize that 
tongue-tie impacts breastfeeding, and it is easy to get it dealt with.  
All the pediatricians and most of the family docs do frenotomies.  
Probably hundreds of babies have had frenotomies since I've been here, 
but I've not seen one yet who required frenectomy.  They're done 
immediately here during the hospital stay, or in the doctor's office if 
not recognized early.  No anesthesia, no big deal from what I can see, 
baby is put to breast right after, certainly less traumatic than a blood 
draw.  No discharge instructions.  So I'm curious as to your situation.

Becky Krumwiede, RN, IBCLC
Appleton, Wisconsin

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