Stacy writes:
I haven't had a lot of experience with tongue-tie--for those of you who
have, my question is: would you say the majority report a big difference in
pain/how baby nurses after? The one mom that I referred reported that it helped
"some" (of course I understand that some of it is related to bad habits learned
if clipping is done late/or if ENT doesn't clip enough.
~~ Stacy and all,
I don't know what qualifies as a lot of experience, but I will just comment
that I have been attending as many assessments and releases as I can, with our
local expert , Dr. Elizabeth Coryllos, and some moms go with me for
scheduling reasons but are always follow up later. The two moms I am currently
working with who went yesterday both had the releases done, as well as the upper
labial frenulums as well. One baby was less than 2 weeks ( I recommended eval
at 30 hours, but the midwife who I really respect as a birth attendant told
the parents in front of me that treating tongue-tie is "a fad" currently....)
the other was almost 6 weeks ( first time it could be scheduled after I saw
mom/babe at around 4 1/2 weeks.) Now, 24 hours after release, the baby who was
nursing is nursing and still causing mom pain, the second baby who couldn't
latch at breast and could not finger feed ( so much compensatory clamping
she couldn't move any milk) is taking milk better from the bottle and could
even move about an ounce from the fingerfeeder before becoming
disorganized/overwhelmed/fatigued. This baby also has a significant torticollis and some tone
issues not picked up previously and has a very high palate. I think the
first baby will begin to nurse more comfortably soon, but I think the second will
require a lot more time, some visits to the CST, etc, because of the other
issues. Both moms also have high palates, narrow jaws, snoring issues, jaw
fatigue during presentations or singing, etc. One is actually considering having
her own release done. I have been present and/or seen babies post-release who
got right to breast for the first time and nursed efficiently and
comfortably, have also seen babies who work for weeks and nothing big changes,
sometimes it takes a while for other things to normalize, sometimes it never does and
may be related to ongoing issues which become more apparent as the child
ages. For those of you who have worked with adults who had the procedure done,
what changes have you seen post-release?
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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