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Lactation Information and Discussion <[log in to unmask]>
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Thu, 12 Mar 2009 14:41:12 EDT
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Jaye writes:


I  will be scouring my books for paperwork I can send him but I need more -  
something like articles or documentation on submucosal tongue  
ties.specifically a frenulum that is under the floor of the  mouth.


~~
Jaye, 
 
I would email or print out the AAP newsletter, where Catherine Watson Genna  
is a Co-Author. 
_http://www.aap.org/breastfeeding/8-27%20Newsletter.pdf_ 
(http://www.aap.org/breastfeeding/8-27%20Newsletter.pdf) 
There is a photo of the LCs finger, sweeping or feeling under the tongue  for 
a tie that is not visible. Could be a 3 or 4 but the article confirms they  
exist. Also the side bar on page 3 :what tongue tie can manifest as: , is often 
 something the parents recognize themselves in. It's all about the function, 
or  lack of, the tongue. I don't know of any articles specifically about 
sum-mucosal  ties. You could also bring along Cathy's book and go through the info 
with the  family together. The recent Pediatrics article is not about 
sub-mucosal  restrictions but it goes on functional limitations and pain before 
release,  and functional change after release.
_http://www.pediatrics.org/cgi/content/full/122/1/e188_ 
(http://www.pediatrics.org/cgi/content/full/122/1/e188) 
 Or the Ballard  
one...http://pediatrics.aappublications.org/cgi/content/full/110/5/e63
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA

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