In a message dated 08/18/2004 2:16:59 PM EST, [log in to unmask]
writes:

<< Kathy asked (in relationship to my  grandbaby):


 <<Why is it the tongue has not been  clipped?>>


 It was, the day after discharge,  but it is short, thick, and close to major
 blood vessels.  He needs a  Z-plasty with anesthesia, and Jill and her dh
 aren't willing to do that at this  time.  The peds was able to make a couple
of
 tiny snips which released it  somewhat, but he said it wasn't nearly as much
as
 he usually does given the  anatomy.

 If it can go wrong, it will go  wrong.

 Jill's problems are all relative --  and as someone pointed out, I'm the
 relative! >>


Jan,
    With your support, this nursing dyad, whose relationship and function has
taken "multiple hits" ( borrowing from Cathy Genna) - possible retained
placenta, tough posterior tongue=tie not responding to a quick snip ( which many
parents will refuse anyway), is doing the best they can do under the
circumstances. It may be decades ( ugh, but true) until breastffeeding is considered
"nothing but normal" and being on the leading edge of knowledge and practice ( not
leading for IBCLCs, but for other team members who work with moms and babies)
means  there just isn't support for Zplasty etc. If the baby can bottlefeed
enough to gain weight, since bottlefeeding is still an acceptable, even
desirable feeding strategy, we often feel alone in our presenting of the options. If
breastfeeding was truly just normal, and expected, then any baby having
breastfeeding problems would be getting every evaluation and treatment necessary to
achieve that norm of feeding at breast, in the same way a child with a tight
achilles tendon will have it released so they can walk most normally. MDs
wouldn't think of telling the parents of a child with any potential capacity to
walk after a tendon release to just settle for a wheelchair or crutches mode of
locomotion, they would go for the norm. We realize we are just trying to get
the baby to normal, other people see it as working unnecessarily
hard/traumatizing the family for some lofty ideal of breastfeeding. I guess this is just to
support you in everything you have and will do for your grandbaby, including
the hard part of sitting back and letting the parents make the decisions they
can handle, in light of current beliefs about feeding among the other health
professionals working with them.
Sincerely,
Judy LeVan Fram,  Brooklyn, NY, USA

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